Individual
JORGE ANTONIO MEDRANO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
600 ST PAUL AVE, SUITE 200, LOS ANGELES, CA 90017
(213) 482-6400
(213) 482-0276
Mailing address
600 ST PAUL AVE STE 200, LOS ANGELES, CA 90017-5686
(213) 482-6400
(213) 482-0276
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN688015
CA
Other
Enumeration date
06/21/2017
Last updated
07/21/2022
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