Individual
ANDREW SHOU MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5506 CANDLELIGHT DR, LA JOLLA, CA 92037-7711
(858) 459-8861
Mailing address
4890 SUNROAD CENTRUM LN APT 430, SAN DIEGO, CA 92123-2057
(530) 681-8162
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/08/2025
Last updated
10/08/2025
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