Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Medardo C. Supnet, MD, Inc

Organization Specialist · NPI 1699923235

Medardo C. Supnet, MD, Inc provides Specialist services in Lynwood, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3585 E Imperial Hwy
Lynwood, CA 90262-2654 Not confirmed with CMS for 18 years — call before visiting
Phone: (310) 605-4260
Fax: (310) 605-4263
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence A46203 (CA)
Specialist Taxonomy 174400000X · Licence A50125 (CA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA16910 (CA)

Record details

NPI number1699923235
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Medardo Supnet — Owner · (310) 605-4260
NPI enumeratedSeptember 8, 2008
Last updated in NPPESSeptember 8, 2008
Mailing address3585 E Imperial Hwy, Lynwood, CA 90262-2654

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