Most Relevant Information
Provider Data
| NPI Number: | 1003063819 |
| Provider Name: | SHERRY HEFNER MEDRANO CPNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LS0200X |
| Specialty: | Nurse Practitioner |
| License Number: | 269220 |
Most Important Dates
| Enumeration Date: | 08/22/2008 |
| Last Updated: | 08/22/2008 |
Provider Practice Location
456 S MATHEWS ST
LOS ANGELES
CA
900334326
Practice Location Phone/Fax
| Phone: | 3237806502 |
| Fax: | 3237806685 |
Provider Mailing Location
1430 S. SAN JULIAN ST
BLDG 2
LOS ANGELES
CA
900153142
Provider Mailing Phone/Fax
| Phone: | 2137652800 |
| Fax: | 2137653861 |