Organization
CELERINA B MEDINA MD INC
Active
Other names
CLINICA MEDINA MEDICAL OFFICE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CELERINA MEDINA M.D. (PRESIDENT)
(323) 564-4545
Entity
Organization
Contact information
Practice address
4149 TWEEDY BLVD, SUITE B, SOUTH GATE, CA 90280-6167
(323) 564-4545
(323) 564-3063
Mailing address
4149 TWEEDY BLVD, SUITE B, SOUTH GATE, CA 90280-6167
(323) 564-4545
(323) 564-3063
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A45547
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A45570
—
CA
Enumeration date
12/16/2008
Last updated
05/12/2009
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