NPI 1003089970
Medardo Supnet M.D. INC
Practice location
- Address
- 3585 E Imperial Hwy, Lynwood, CA 90262-2654
- Phone
- (310) 605-4260
- Fax
- (310) 605-4263
Authorised official
- Name
- Meliza Dayrit
- Title
- Office Manager
- Phone
- (310) 605-4260
Registered specialties
Legal Medicine
Primary
Registry record
- NPI
- 1003089970
- Entity type
- Organization
- NPI issued
- 10 Apr 2008
- Record last updated
- 10 Apr 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.