NPI 1003331778

Daisy Nataly Medina

Practitioner Registered Nurse Santa Ana, CA

Practice location

Address: 1725 W 17th St, Santa Ana, CA 92706-2316
Phone: (714) 834-7324
Mailing address: 12321 Betty Ln, Garden Grove, CA 92840-3470

Registered specialties

Registered Nurse Primary

Nursing Service Providers Taxonomy 163W00000X Licence 95125639 (CA)

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Registry record

NPI: 1003331778
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Aug 2017
Record last updated: 3 Aug 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.