Individual
DR. ERNESTO MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1101 S WINCHESTER BLVD, SUITE J218, SAN JOSE, CA 95128-3901
(408) 290-6236
Mailing address
1101 S WINCHESTER BLVD, SUITE J218, SAN JOSE, CA 95128-3901
(408) 290-6236
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC 32520
CA
Other
Enumeration date
01/11/2016
Last updated
01/25/2017
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