SearchCalifornia207Q00000X

Manuel Medina, PAC

NPI 1952498867 · on the registry since 2006

Practice

Address
610 W 17th St
Santa Ana, CA 92706
Phone
(714) 541-4090
Fax
(714) 541-8815
Organisation at this address
Sa Medical Center Inc.
San Antonio Medical Center Inc.
San Antonio Medical Center Inc.
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California