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Ivan Medina
Student in an Organized Health Care Education/Training Program in West Covina, California
NPI 1881327146

Ivan Medina is a Student in an Organized Health Care Education/Training Program based in Alhambra, CA. Ivan Medina practices in West Covina, CA. The NPI Number for Ivan Medina is 1881327146 and holds a License No. (California).

The current practice location address for Ivan Medina is 1215 W West Covina Pkwy, West Covina, CA and can be reached out via phone at 626-974-0770.

Location: 1215 W West Covina Pkwy, West Covina, CA, 91801-3954
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881327146
Provider Name
Ivan Medina
Credential
Provider Entity Type
Individual
Gender
Male
Address
1215 W West Covina Pkwy, West Covina, CA, 91801-3954
Phone Number
626-974-0770
Fax Number
Provider Enumeration Date
07/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1215 W West Covina Pkwy
City
West Covina
State
California
Zip
91790-2815
Phone Number
626-974-0770
Fax Number
person
Provider Business Mailing Address Details
Address
1215 W West Covina Pkwy
City
West Covina
State
California
Zip
91790-2815
Phone Number
626-974-0770
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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