person
Dr. Celerina De Borja Medina
General Practice Physician in South Gate, California
NPI 1356399919

Celerina De Borja Medina is a General Practice Physician based in South Gate, CA. Celerina De Borja Medina practices in South Gate, CA. The NPI Number for Celerina De Borja Medina is 1356399919 and holds a License No. A45547 (California).

The current practice location address for Celerina De Borja Medina is 4149 Tweedy Boulevard, South Gate, CA and can be reached out via phone at 323-564-4545 and via fax at 323-564-3063.

Location: 4149 Tweedy Boulevard, South Gate, CA, 90280-6167
person
Provider Profile Details
NPI Number
1356399919
Provider Name
Celerina De Borja Medina
Credential
Provider Entity Type
Individual
Gender
Female
Address
4149 Tweedy Boulevard, South Gate, CA, 90280-6167
Phone Number
323-564-4545
Fax Number
323-564-3063
Provider Enumeration Date
05/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A455470 05 CA
institution
Provider Business Practice Location Address Details
Address
4149 Tweedy Boulevard
City
State
Zip
90280-6167
Phone Number
323-564-4545
Fax Number
323-564-3063
person
Provider Business Mailing Address Details
Address
4149 Tweedy Boulevard
City
State
Zip
90280-6167
Phone Number
323-564-4545
Fax Number
323-564-3063
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
A45547 (California)
Definition
Definition to come...
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