Clinica Medina Medical Office

LBN: Celerina B Medina Md Inc
Clinica Medina Medical Office is an health care organization with primary practice located at 4149 Tweedy Blvd Suite B, South Gate CA 90280-6167. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Celerina B Medina Md Inc can be contacted via phone (323) 564-4545, or through Medina, Celerina via phone (323) 564-4545.

Contact Information

Primary practice address
4149 Tweedy Blvd Suite B South Gate CA 90280-6167
Phone: (323) 564-4545
Fax: (323) 564-3063
Website:
Map and Directions
Authorized official contact:
Name: Medina, Celerina Doctor of Medicine (MD)
Phone: (323) 564-4545

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A45547 California

Profile Details

NPI number 1972749216
LBN Legal business name Celerina B Medina Md Inc
DBA Doing business as Clinica Medina Medical Office
Authorized official Medina, Celerina Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 16th, 2008
Last updated May 12th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972749216 NPPES
California MEDICAID 00A45570

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