Provider Demographics
NPI:1518736271
Name:MEDINA, RIANNE MARGARETTE (RN BSN)
Entity Type:Individual
Prefix:MISS
First Name:RIANNE
Middle Name:MARGARETTE
Last Name:MEDINA
Suffix:
Gender:F
Credentials:RN BSN
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Mailing Address - Street 1:9903 SANTA MONICA BLVD STE 924
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-1606
Mailing Address - Country:US
Mailing Address - Phone:310-904-8335
Mailing Address - Fax:866-279-2860
Practice Address - Street 1:201 HILLIARD AVE
Practice Address - Street 2:
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-1119
Practice Address - Country:US
Practice Address - Phone:310-904-8335
Practice Address - Fax:866-279-2860
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-21
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA689039163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse