Individual
ELIZBETH MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1955 CITRACADO PKWY STE 300, ESCONDIDO, CA 92029-4113
(760) 294-1281
(760) 888-2175
Mailing address
1955 CITRACADO PKWY STE 300, ESCONDIDO, CA 92029-4113
(760) 294-1281
(760) 888-2175
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2024
Last updated
05/13/2025
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