Ismael Medina
NPI #1386229698 in Venice, California
Provider Information
- NPI Number
- 1386229698
- Entity Type
- Individual
- Name
- Ismael Medina
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Mar 17, 2021
- Last Updated
- Mar 17, 2021
Practice Location
- Address
- 204 HAMPTON DR
- City
- Venice
- State
- California
- ZIP Code
- 90291-8633
- Phone
- (310) 396-6468
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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