Individual provider · Type 1 NPI

Kevin Medina

Student in an Organized Health Care Education/Training Program · Santa Monica, CA

NPI number 1376964569 Active

Practice location

1453 16th St
Santa Monica, CA 90404-2715

Call (310) 264-6646 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1376964569

Kevin Medina's National Provider Identifier is 1376964569, issued on Dec 15, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Santa Monica, CA. The record was last updated on Dec 15, 2013.