location
search-icon
institution
Medardo C. Supnet, M.d., Inc
Specialist in Norwalk, California
NPI 1417069303

Medardo C. Supnet, M.d., Inc is a Specialist based in Norwalk, CA. Medardo C. Supnet, M.d., Inc practices in Norwalk, CA. The NPI Number for Medardo C. Supnet, M.d., Inc is 1417069303 and holds a License No. GR0101320 (California).

The current practice location address for Medardo C. Supnet, M.d., Inc is 11637 The Plaza, Norwalk, CA and can be reached out via phone at 562-864-7279 and via fax at 562-406-8606.

Location: 11637 The Plaza, Norwalk, CA, 90650-3930
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417069303
Provider Name
Medardo C. Supnet, M.d., Inc
Credential
Provider Entity Type
Organization
Address
11637 The Plaza, Norwalk, CA, 90650-3930
Phone Number
562-864-7279
Fax Number
562-406-8606
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
PA16910 01 CA PHYSICIAN ASSISTANT PROVIDER NUMBER
00A462030 01 CA MEDICAL RENDERING PROVIDER NUMBER
00A501250 01 CA MEDICAL RENDERING PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
11637 The Plaza
City
Norwalk
State
California
Zip
90650-3930
Phone Number
562-864-7279
Fax Number
562-406-8606
person
Provider Business Mailing Address Details
Address
11637 The Plaza
City
Norwalk
State
California
Zip
90650-3930
Phone Number
562-864-7279
Fax Number
562-406-8606
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
GR0101320 (California)
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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.