Individual
ZULLY MEDRANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
550 S VERMONT AVE, LOS ANGELES, CA 90020-1912
(800) 854-7771
Mailing address
PO BOX 14492, TORRANCE, CA 90503-8492
(424) 477-5808
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
36775
CA
Other
Enumeration date
12/13/2012
Last updated
01/30/2016
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