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1689883779
LAUREL FAYE MEDINA
LOS ANGELES, CA
NPI
1689883779
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A101883)
Enumeration Date
2007-05-22
Last Update Date
2021-11-23
Business Address
LAUREL FAYE MEDINA M.D.
1526 N EDGEMONT ST
LOS ANGELES, CA 90027-5260
Phone number: 323-783-4011
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Mailing Address
LAUREL FAYE MEDINA M.D.
4149 TWEEDY BLVD SUITE B
SOUTH GATE, CA 90280-6167
Phone number: 323-564-4545
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