MEDARDO C. SUPNET M.D. INC NPI 1699923235

NPI Information

MEDARDO C. SUPNET, M.D., INC is a specialist in Lynwood, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MEDARDO C. SUPNET, M.D., INC NPI is 1699923235. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3585 E IMPERIAL HWY
LYNWOOD, CA
ZIP 90262-654
Phone: (310) 605-4260
Fax: (310) 605-4263

The provider's authorized official is Medardo C Supnet .
The authorized official title is Owner and has the following contact phone number (310) 605-4260.

The enumeration date for this NPI number is 9/8/2008 and was last updated on 9/8/2008.

Taxonomy Codes

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Other Identifiers

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