Jon-Eric Medina in Los Angeles - Licensed Vocational Nurse

Jon-Eric Medina - NPI 1184882631

Jon-Eric Medina is a Licensed Vocational Nurse in Los Angeles, California. Jon-Eric Medina practices all healthcare services and medical treatments related to Licensed Vocational Nurse. The NPI Number for Jon-Eric Medina is 1184882631. The last update date is 2011-05-16.

Jon-Eric Medina's current location address is 526 S San Pedro St, Los Angeles, California. You can contact this provider via phone number 2134889559. The mailing address for Jon-Eric Medina is 526 S San Pedro St, Los Angeles, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Jon-Eric Medina
Address 526 S San Pedro St, Los Angeles, California
Phone Number 2134889559
Fax Number
Sole Proprietor N
Credentials LVN

NPI Number Detail

NPI Number 1184882631
Provider Enumeration Date 2008-05-30
Last Updated Date 2011-05-16

Provider Mailing Address Detail

Address 526 S San Pedro St
City Los Angeles
State California (CA)
Post Code 900132102
Phone Number 2134889559
Fax Number

Provider's Primary Taxonomy Detail

Speciality Licensed Vocational Nurse
Taxonomy 164X00000X
Licence No VN 227591
Definition:
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
ICAN808 CA LA COUNTY DMH

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FAQs about Jon-Eric Medina

What is the unique identifier code issued to Jon-Eric Medina by the Centers for Medicare & Medicaid Services (CMS)?

The Jon-Eric Medina has been assigned the NPI (National Provider Identifier) 1184882631. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Jon-Eric Medina's facilities are situated?

The facilities of Jon-Eric Medina are physically located at the following address: 526 S San Pedro St, Los Angeles, CA, 900132102.

What is Jon-Eric Medina's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jon-Eric Medina's area of specialization is Licensed Vocational Nurse, and the corresponding taxonomy code that categorizes this field of practice is 164X00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1184882631 to Jon-Eric Medina?

The Centers for Medicare & Medicaid Services assigned the 1184882631 to Jon-Eric Medina on 2008-05-30.

When was the information regarding Jon-Eric Medina most recently updated?

The details pertaining to the Jon-Eric Medina, including its address, specialty, and other relevant information, were last refreshed on 2011-05-16.

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