Individual
ADALBERTO MEDINA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1102 E CLARK AVE STE 120A, SANTA MARIA, CA 93455-5175
(805) 332-8185
(805) 332-8186
Mailing address
1102 E CLARK AVE STE 120A, SANTA MARIA, CA 93455-5175
(805) 332-8185
(805) 332-8186
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95030886
CA
Other
Enumeration date
06/06/2024
Last updated
08/04/2026
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