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MEDARDO C. SUPNET, M.D., INC
NPI 1699923235
Specialist in Lynwood, CA

Active since September 08, 2008
3585 E IMPERIAL HWY, LYNWOOD, CA 90262(310) 605-4260(310) 605-4263 Get Directions Write a Review

NPPES record last updated: September 8, 2008. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Medardo C. Supnet, M.d., Inc NPPES

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

MEDARDO C. SUPNET, M.D., INC (NPI 1699923235) is a healthcare organization registered as a specialist in Lynwood, California and active in the NPI registry since September 2008. The organization lists Medardo C Supnet, Owner, as its authorized official.

NPPES Registry Identity

NPI1699923235
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMEDARDO C. SUPNET, M.D., INC
Location Address3585 E IMPERIAL HWYLynwood, CA 90262-2654
Mailing Address3585 E Imperial HwyLynwood, CA 90262-2654 · (310) 605-4260 · Fax (310) 605-4263
Phone(310) 605-4260
Fax(310) 605-4263
Organization SubpartNo
Authorized OfficialMedardo C SupnetOwner · (310) 605-4260
Enumeration DateSeptember 8, 2008
✔ NPI 1699923235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses✔ Licensed in CA · A46203✔ Licensed in CA · A50125
Definition
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA16910 (CA)
3585 E IMPERIAL HWY, Lynwood, CA 90262
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Other Identifiers 3

Other00A462030CA · Medical Rendering Provider Number
Other00A501250CA · Medical Rendering Provider Number
OtherPA16910CA · Physician Assistant Provider Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEDARDO SUPNET M.D. INC
Legal Medicine
3585 E IMPERIAL HWY
LYNWOOD, CA 90262
Los Angeles County (310) 605-4260
ARJIE ALEA FLORENTINO
Physician Assistant (Medical)
3585 E IMPERIAL HWY
LYNWOOD, CA 90262
Los Angeles County (310) 605-4260

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 Medardo C. Supnet, M.D., Inc's NPI number?

The NPI number for Medardo C. Supnet, M.D., Inc is 1699923235. It was assigned to this organization in the NPPES registry on September 8, 2008.

Where is Medardo C. Supnet, M.D., Inc located?

Medardo C. Supnet, M.D., Inc is located at 3585 E Imperial Hwy, Lynwood, CA 90262. The listed phone number is (310) 605-4260.

What is Medardo C. Supnet, M.D., Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Medardo C. Supnet, M.D., Inc was last updated on September 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.