Individual
MR. ANDREW MEDINA I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1604 BLOSSOM HILL RD STE 10, SAN JOSE, CA 95124-6350
(408) 528-8833
(408) 827-4171
Mailing address
1604 BLOSSOM HILL RD STE 10, SAN JOSE, CA 95124-6350
(408) 528-8833
(408) 827-4171
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
55083
CA
Other
Enumeration date
08/05/2026
Last updated
08/05/2026
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