Alma M Medina

NPI #1730396128 in San Leandro, California

Provider Information

NPI Number: 1730396128
Entity Type: Organization
Organization Name: Alma M Medina
Primary Specialty: Intermediate Care Facility, Intellectual Disabilities
Enumeration Date: May 17, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 2076 VESTAL CT
City: San Leandro
State: California
ZIP Code: 94577-2328
Phone: (650) 455-2574

Authorized Official

Name: MRS. ALMA M MEDINA
Title: SUPERVISOR
Phone: (650) 455-2574

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Intermediate Care Facility, Intellectual Disabilities	315P00000X	Primary

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