Celerina B Medina MD INC

NPI #1972749216 in South Gate, California

Provider Information

NPI Number: 1972749216
Entity Type: Organization
Organization Name: Celerina B Medina MD INC
Primary Specialty: Family Medicine
Enumeration Date: Dec 16, 2008
Last Updated: May 12, 2009

Practice Location

Address: 4149 TWEEDY BLVD
Address 2: SUITE B
City: South Gate
State: California
ZIP Code: 90280-6167
Phone: (323) 564-4545

Authorized Official

Name: DR. CELERINA MEDINA, M.D.
Title: PRESIDENT
Phone: (323) 564-4545

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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