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Nicole Medine
NPI 1396654794 · on the registry since 2026 · sole proprietor
Practice
- Address
- 718 Echo Park Ave
Los Angeles, CA 90026 - Phone
- (213) 238-2505
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-09-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California