Medardo Supnet M.D. Inc

LBN: Medardo Supnet M.D. Inc
Medardo Supnet M.D. Inc is an health care organization with primary practice located at 3585 E Imperial Hwy , Lynwood CA 90262-2654. The organization recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as the primary health care specialty. Medardo Supnet M.D. Inc can be contacted via phone (310) 605-4260, or through Dayrit, Meliza via phone (310) 605-4260.

Contact Information

Primary practice address
3585 E Imperial Hwy Lynwood CA 90262-2654
Phone: (310) 605-4260
Fax: (310) 605-4263
Website:
Map and Directions
Authorized official contact:
Name: Dayrit, Meliza
Phone: (310) 605-4260

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X A46203 California

Profile Details

NPI number 1003089970
LBN Legal business name Medardo Supnet M.D. Inc
DBA Doing business as
Authorized official Dayrit, Meliza
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2008
Last updated Apr 10th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003089970 NPPES
California MEDICAID 1417069303

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