Individual
ALEXIS D MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3875 S WESTERN AVE, LOS ANGELES, CA 90062-1105
(626) 254-5000
Mailing address
800 S SANTA ANITA AVE, ARCADIA, CA 91006-3536
(626) 254-5000
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/22/2019
Last updated
05/01/2019
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