Medina, Carlo

Medina, Carlo is an individual health care provider with primary practice located at 4560 Admiralty Way Ste 201 , Marina Del Rey CA 90292-5425. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Medina, Carlo can be contacted via phone (310) 823-3443.

Contact Information

Primary practice address
4560 Admiralty Way Ste 201 Marina Del Rey CA 90292-5425
Phone: (310) 823-3443
Fax: (310) 305-7470
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X C53912 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X C53912 California

Profile Details

NPI number 1093786444
LBN Legal business name Medina, Carlo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated May 1st, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093786444 NPPES
California Other 1902846306 GROUP NPI
California Other W18762 GROUP NPI
California Other GR0100430 GROUP NPI

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