Search › California › 207Q00000X
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