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NPI Code Detail

MEDICARE: CHRISTINA MEDRANO

MEDICARE:   CHRISTINA  MEDRANO
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
1225700000XMassage Therapist74355CA

General Provider Information

NPI Number : 1861326860
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA MEDRANO
Provider Business Mailing Address
First Line : 20140 ACRE ST
Second Line :
City : WINNETKA
State : CA
Zip : 91306-1102
Country : US
Telephone Number : 818-825-4989
Fax Number :
Provider Business Practice Location Address
First Line : 123 HODENCAMP RD STE 104
Second Line :
City : THOUSAND OAKS
State : CA
Zip : 91360-5833
Country : US
Telephone Number : 818-825-4989
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2026
Last Update Date : 06/12/2026

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Directions to “ CHRISTINA MEDRANO ” Practice Location

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