Myrna Jose Medina in Watsonville - Dentist
Myrna Jose Medina - NPI 1558446575
Myrna Jose Medina is a Dentist in Watsonville, California. Myrna Jose Medina practices all healthcare services and medical treatments related to Dentist. The NPI Number for Myrna Jose Medina is 1558446575. The last update date is 2007-07-08.
Myrna Jose Medina's current location address is 15 Penny Ln Ste 1, Watsonville, California. You can contact this provider via phone number 8317224635 and fax number 8317225735. The mailing address for Myrna Jose Medina is 15 Penny Ln Ste 1, Watsonville, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Myrna Jose Medina |
|---|---|
| Address | 15 Penny Ln Ste 1, Watsonville, California |
| Phone Number | 8317224635 |
| Fax Number | 8317225735 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1558446575 |
|---|---|
| Provider Enumeration Date | 2006-10-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 15 Penny Ln Ste 1 |
|---|---|
| City | Watsonville |
| State | California (CA) |
| Post Code | 950766010 |
| Phone Number | 8317224635 |
| Fax Number | 8317225735 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 31482 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique identifier code issued to Myrna Jose Medina by the Centers for Medicare & Medicaid Services (CMS)?
The Myrna Jose Medina has been assigned the NPI (National Provider Identifier) 1558446575. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Myrna Jose Medina is physically located?
The Myrna Jose Medina is physically situated at the following address: 15 Penny Ln Ste 1, Watsonville, CA, 950766010.
What is Myrna Jose Medina's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Myrna Jose Medina is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1558446575 to Myrna Jose Medina?
The Myrna Jose Medina received its 1558446575 assignment from the Centers for Medicare & Medicaid Services on 2006-10-26.
When was the Myrna Jose Medina's information last updated?
The Myrna Jose Medina's information was last updated on 2007-07-08.