Individual provider · Type 1 NPI

Ana A. Codiz Medina

Nurse Practitioner · Costa Mesa, CA

NPI number 1568050029 Active

Practice location

2200 Harbor Blvd Ste B210
Costa Mesa, CA 92627-5890

Fax (949) 548-4504

Mailing address

4201 W 5th St Apt 105
Santa Ana, CA 92703-3215

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X95016322 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1568050029

Ana A. Codiz Medina's National Provider Identifier is 1568050029, issued on Jan 8, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Costa Mesa, CA. The record was last updated on Feb 11, 2022.