Individual
FERNANDO MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ORTHOTIST
Contact information
Practice address
13340 FIRESTONE BLVD, UNIT G, SANTA FE SPRINGS, CA 90670-5558
(951) 351-0019
(951) 351-1279
Mailing address
13340 FIRESTONE BLVD, UNIT G, SANTA FE SPRINGS, CA 90670-5558
(951) 351-0019
(951) 351-1279
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
C36368
CA
Other
Enumeration date
07/28/2008
Last updated
07/28/2008
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