Individual
ART MEDRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
12450 VAN NUYS BLVD, 200, PACOIMA, CA 91331-1391
(818) 896-1161
(818) 896-5069
Mailing address
12450 VAN NUYS BLVD, 200, PACOIMA, CA 91331-1391
(818) 896-1161
(818) 896-5069
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN243790
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6758
—
CA
05
—
7068
—
CA
05
—
7420
—
CA
Enumeration date
04/27/2011
Last updated
03/30/2017
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