Medina, Juanito
Medina, Juanito is an individual health care provider with primary practice located at 1401 S Grand Ave Emergency Department, Los Angeles CA 90015-3010. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Medina, Juanito can be contacted via phone (213) 748-2411.Contact Information
Primary practice address
1401 S Grand Ave Emergency Department
Los Angeles CA 90015-3010
Phone: (213) 748-2411
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | NP7325 | California |
Profile Details
| NPI number | 1639122468 |
|---|---|
| LBN Legal business name | Medina, Juanito |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years 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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