Individual
ANTONIO MEDRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10230 ARTESIA BLVD STE 104, BELLFLOWER, CA 90706-6768
(562) 356-9692
Mailing address
10230 ARTESIA BLVD STE 104, BELLFLOWER, CA 90706-6768
(562) 356-9692
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
ACSW98323
CA
104100000X
Social Worker
LCSW122816
CA
1041C0700X
Clinical Social Worker
Primary
LCSW122816
CA
Other
Enumeration date
10/09/2023
Last updated
06/10/2024
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