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NPI Code Detail

MEDICARE: JEFFEL MEDINA

MEDICARE:   JEFFEL  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
1183500000XPharmacist77835CA

General Provider Information

NPI Number : 1710620380
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFEL MEDINA
Provider Business Mailing Address
First Line : 2035 S MYRTLE AVE
Second Line :
City : MONROVIA
State : CA
Zip : 91016-4836
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2035 S MYRTLE AVE
Second Line :
City : MONROVIA
State : CA
Zip : 91016-4836
Country : US
Telephone Number : 626-448-4085
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2022
Last Update Date : 09/18/2023

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Directions to “ JEFFEL MEDINA ” Practice Location

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