Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mirella Medina

Individual provider Case Manager/Care Coordinator · NPI 1558001685

Mirella Medina is a Case Manager/Care Coordinator in Lodi, California. Registered with an NPI since 2022.

In the registry since
2022
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Practice location Address checks out

2401 W Turner Rd Ste 450
Lodi, CA 95242-2191
Phone: (209) 370-1700
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Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1558001685
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 29, 2022
Last updated in NPPESMarch 29, 2022
Certification dateMarch 29, 2022
Mailing address7210 Murray Dr, Stockton, CA 95210-3339

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