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Individual

DR. CELERINA DE BORJA MEDINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4149 TWEEDY BOULEVARD, STE B, SOUTH GATE, CA 90280-6167
(323) 564-4545
(323) 564-3063
Mailing address
4149 TWEEDY BOULEVARD, STE B, SOUTH GATE, CA 90280-6167
(323) 564-4545
(323) 564-3063

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A45547
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A455470
CA
Enumeration date
05/05/2006
Last updated
06/29/2012
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