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MR. EDUARDO MEDINA RDA
NPI 1629652854
Dental Assistant in South Gate, CA

Active since May 12, 2021
8454 VICTORIA AVE APT C, SOUTH GATE, CA 90280(818) 445-1201 Get Directions Write a Review

NPPES record last updated: May 12, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Eduardo Medina Rda NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. EDUARDO MEDINA RDA (NPI 1629652854) is an individual dental assistant in South Gate, California, licensed in California (92794) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1629652854
Entity TypeIndividualMale
Primary Taxonomy126800000X
Provider Legal NameMR. EDUARDO MEDINACredential: RDA
Location Address8454 VICTORIA AVE APT CSouth Gate, CA 90280-2364
Mailing Address8454 Victoria Ave Apt CSouth Gate, CA 90280-2364 · (818) 445-1201
Phone(818) 445-1201
Sole ProprietorNo
Enumeration DateMay 12, 2021
NPPES CertifiedMay 12, 2021
✔ NPI 1629652854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental AssistantDental Providers
Taxonomy Code126800000X
License✔ Licensed in CA · 92794
Definition
An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.
8454 VICTORIA AVE APT C, South Gate, CA 90280
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Other Identifiers 1

Medicaid92794CA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eduardo Medina's NPI number?

The NPI number for Eduardo Medina is 1629652854. It was assigned to this individual provider in the NPPES registry on May 12, 2021.

Where is Eduardo Medina located?

Eduardo Medina practices at 8454 Victoria Ave Apt C, South Gate, CA 90280. The listed phone number is (818) 445-1201.

What is Eduardo Medina's specialty?

The primary specialty registered for this NPI is Dental Assistant with taxonomy code 126800000X.

When was this NPI record last updated?

The NPPES record for Eduardo Medina was last updated on May 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.