Ismael Medina
Ismael Medina is a Case Manager/Care Coordinator in Venice, California. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
204 Hampton DrVenice, CA 90291-8633
Phone: (310) 396-6468
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1386229698 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 17, 2021 |
| Last updated in NPPES | March 17, 2021 |
| Certification date | March 17, 2021 |
| Mailing address | 204 Hampton Dr, Venice, CA 90291-8633 |
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