Individual
DR. NATALIE JO MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
502 EUCLID AVE STE 306, NATIONAL CITY, CA 91950-8902
(619) 267-1168
(619) 267-6644
Mailing address
PO BOX 1404, BONITA, CA 91908-1404
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A54817
CA
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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