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Individual

DR. CARLOS ALONSO MEDINA MENDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3939 J ST, SUITE 106, SACRAMENTO, CA 95819-3636
(916) 454-4861
Mailing address
3939 J ST, 106, SACRAMENTO, CA 95819-3636

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
ME118992
FL
207W00000X
Ophthalmology Physician
MT194706
PA
207W00000X
Ophthalmology Physician
RS2013-0129
NM
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
138518
CA

Other

Enumeration date
06/18/2010
Last updated
04/03/2017
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