DR. CELERINA DE BORJA MEDINA NPI 1356399919

NPI Information

DR. Celerina De Borja Medina is a general practice in South Gate, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Celerina De Borja Medina NPI is 1356399919. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4149 TWEEDY BOULEVARD
STE B
SOUTH GATE, CA
ZIP 90280-167
Phone: (323) 564-4545
Fax: (323) 564-3063

The NPI 1356399919 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 5/5/2006 and was last updated on 6/29/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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