| Natalie Medina, Md, Inc | |
|
502 Euclid Ave Suite 306 National City CA 91950-2931 | |
| (619) 267-1168 | |
| (619) 267-6644 |
| Full Name | Natalie Medina, Md, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 502 Euclid Ave, National City, California |
| Authorized Official Name and Position | Natalie Jo Medina (PRESIDENT) |
| Authorized Official Contact | 6199950990 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Natalie Medina, Md, Inc Po Box 1404 Bonita CA 91908-1404 Ph: (619) 267-1168 | Natalie Medina, Md, Inc 502 Euclid Ave Suite 306 National City CA 91950-2931 Ph: (619) 267-1168 |
| NPI Number | 1386183382 |
|---|---|
| Provider Enumeration Date | 02/23/2017 |
| Last Update Date | 02/23/2017 |
| Medicare PECOS PAC ID | 1254608359 |
|---|---|
| Medicare Enrollment ID | O20170519002356 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386183382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | A54817 (California) | Primary |
| Provider Name | Natalie J Medina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578932893 PECOS PAC ID: 4587963590 Enrollment ID: I20160809003053 |
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