DIANA MARCELA MEDINA

LOS ANGELES, CA
NPI1003827551
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: CA  50643)
Enumeration Date2006-08-10
Last Update Date2007-07-08
Business Address
Dr. DIANA MARCELA MEDINA DDS
11980 SAN VICENTE BLVD SUITE 505
LOS ANGELES, CA 90049-5012
Phone number: 310-820-6691
Mailing Address
Dr. DIANA MARCELA MEDINA DDS
10620 EASTBORNE AVE APT # 302
LOS ANGELES, CA 90024-5985
Phone number: 310-490-6674