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

Mr. Eduardo Medina, RDA

Individual provider Dental Assistant · NPI 1629652854

Mr. Eduardo Medina, RDA is a Dental Assistant in South Gate, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021

Practice location Address checks out

8454 Victoria Ave Apt C
South Gate, CA 90280-2364
Phone: (818) 445-1201
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Assistant (primary) Taxonomy 126800000X · Licence 92794 (CA)

Record details

NPI number1629652854
Entity typeIndividual (Type 1)
GenderMale
Credentials RDA
Sole proprietorNo
NPI enumeratedMay 12, 2021
Last updated in NPPESMay 12, 2021
Certification dateMay 12, 2021

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