| Doctor Name: | SHERRY HEFNER MEDRANO |
| NPI Number: | 1003063819 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CPNP |
| License Number: | 269220 |
| Business Practice Address: | 456 S Mathews St Los Angeles, CA - 900334326 |
| Business Phone Number: | 3237806502 |
| Business Fax Number: | 3237806685 |
| Mailing Address: | 1430 S. San Julian St, Bldg 2 LOS ANGELES |
| State: | CA |
| Postal Code: | 900153142 |
| Phone Number: | 2137652800 |
| Fax Number: | 2137653861 |
| NPI Enumeration Date: | 08/22/2008 |
| NPI Last Update Date: | 08/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LS0200X |
| License Number: | 269220 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |