Rudy Medina
Rudy Medina is a Physician Assistant in Lake Elsinore, California. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
- Specialties on file
- 3
Practice location Address checks out
31408 Clement StLake Elsinore, CA 92530-5105
Phone: (714) 225-3314
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|---|
| Physician Assistant | Taxonomy 363A00000X |
| Medical Physician Assistant | Taxonomy 363AM0700X |
Record details
| NPI number | 1982496360 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 21, 2025 |
| Last updated in NPPES | May 22, 2025 |
| Certification date | May 22, 2025 |
| Mailing address | 31408 Clement St, Lake Elsinore, CA 92530-5105 |
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