Organization
JOSEPH MEDRANO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOE DAVID MEDRANO RDMS,RDCS,RVT (OWNER)
(805) 501-3060
Entity
Organization
Contact information
Practice address
1115 CALLE ALMENDRO, THOUSAND OAKS, CA 91360-6404
(805) 501-3060
(805) 493-8036
Mailing address
1115 CALLE ALMENDRO, THOUSAND OAKS, CA 91360-6404
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
15472
CA
Other
Enumeration date
02/01/2008
Last updated
05/21/2012
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