Individual
HUGO MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMS
Contact information
Practice address
414 TENNESSEE ST STE XX, REDLANDS, CA 92373-8163
(909) 570-7175
Mailing address
414 TENNESSEE ST STE XX, REDLANDS, CA 92373-8163
(909) 570-7175
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
96261
CA
Other
Enumeration date
03/14/2018
Last updated
03/14/2018
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