| Corazon C Medina Md Inc | |
|
1751 W Romneya Dr Ste H Anaheim CA 92801-1815 | |
| (714) 563-2114 | |
| Not Available |
| Full Name | Corazon C Medina Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1751 W Romneya Dr, Anaheim, California |
| Authorized Official Name and Position | Corazon C Medina (PRESIDENT) |
| Authorized Official Contact | 7145632114 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Corazon C Medina Md Inc 1751-h West Romneya Drive Anaheim CA 92801 Ph: (714) 563-2114 | Corazon C Medina Md Inc 1751 W Romneya Dr Ste H Anaheim CA 92801-1815 Ph: (714) 563-2114 |
| NPI Number | 1447309307 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 03/08/2010 |
| Medicare PECOS PAC ID | 1951430438 |
|---|---|
| Medicare Enrollment ID | O20100520000912 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447309307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Corazon C Medina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083883904 PECOS PAC ID: 9032000740 Enrollment ID: I20040323000319 |
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