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 is a Specialist 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
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

Other providers in Lynwood