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Kevin Medina
Student in an Organized Health Care Education/Training Program in Santa Monica, California
NPI 1376964569

Kevin Medina is a Student in an Organized Health Care Education/Training Program based in Santa Monica, CA. Kevin Medina practices in Santa Monica, CA. The NPI Number for Kevin Medina is 1376964569 and holds a License No. (California).

The current practice location address for Kevin Medina is 1453 16Th St, Santa Monica, CA and can be reached out via phone at 310-264-6646.

Location: 1453 16Th St, Santa Monica, CA, 90404-2715
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376964569
Provider Name
Kevin Medina
Credential
Provider Entity Type
Individual
Gender
Male
Address
1453 16Th St, Santa Monica, CA, 90404-2715
Phone Number
310-264-6646
Fax Number
Provider Enumeration Date
12/15/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1453 16Th St
City
Santa Monica
State
California
Zip
90404-2715
Phone Number
310-264-6646
Fax Number
person
Provider Business Mailing Address Details
Address
1453 16Th St
City
Santa Monica
State
California
Zip
90404-2715
Phone Number
310-264-6646
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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