Individual
CHRISTEL MAGDALENA PEREZ MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N/A
Contact information
Practice address
3580 E 52ND ST, MAYWOOD, CA 90270-2002
(323) 713-3488
Mailing address
3580 E 52ND ST, MAYWOOD, CA 90270-2002
(323) 713-3488
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y2314710
ID
CA
Enumeration date
05/09/2022
Last updated
05/09/2022
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