Individual
HAZEL MEDRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1317 HUNTINGTON DR, SOUTH PASADENA, CA 91030-4511
(323) 588-8366
Mailing address
1317 HUNTINGTON DR, COS SERVICES BUILDING, SOUTH PASADENA, CA 91030-4511
(323) 588-8366
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/05/2014
Last updated
12/05/2014
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