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NPI Code Detail

MEDICARE: ALYSSA MEDINA

MEDICARE: ALYSSA MEDINA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12355S0801XSpeech-Language Assistant9667CA

General Provider Information

NPI Number : 1316889736
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA MEDINA
Provider Business Mailing Address
First Line : 3421 CHERRY AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90807-4911
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3421 CHERRY AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90807-4911
Country : US
Telephone Number : 626-782-5599
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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Directions to “ ALYSSA MEDINA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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