Individual
GERARDO ANTONIO MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1425 W FOOTHILL BLVD STE 201, UPLAND, CA 91786-3637
(877) 527-7227
Mailing address
25910 ACERO, MISSION VIEJO, CA 92691-2790
(877) 527-7227
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
CA
Other
Enumeration date
10/16/2025
Last updated
10/24/2025
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