Organization
NATALIE MEDINA, MD, INC
Active
Parent organization
NATALIE MEDINA, MD, INC
Other names
Natalie J. Medina, MD
Organization subpart
Yes
Provider details
NPI number
Legal business name
NATALIE MEDINA, MD, INC
Authorized official
DR. NATALIE JO MEDINA M.D. (PRESIDENT)
(619) 995-0990
Entity
Organization
Contact information
Practice address
502 EUCLID AVE, SUITE 306, NATIONAL CITY, CA 91950-2931
(619) 267-1168
(619) 267-6644
Mailing address
PO BOX 1404, BONITA, CA 91908-1404
(619) 267-1168
(619) 267-6644
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
A54817
CA
Other
Enumeration date
02/23/2017
Last updated
02/23/2017
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