Medina, Rudy

Medina, Rudy is an sole proprietor health care provider with primary practice located at 31408 Clement St , Lake Elsinore CA 92530-5105. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Medina, Rudy can be contacted via phone (714) 225-3314.

Contact Information

Primary practice address
31408 Clement St Lake Elsinore CA 92530-5105
Phone: (714) 225-3314
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X California
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X California

Profile Details

NPI number 1982496360
LBN Legal business name Medina, Rudy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2025
Last updated Sep 29th, 2026 - about last month

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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