Rudy Medina, is a
Student In An Organized Health Care Education/training Program based in Lake Elsinore, California. Rudy Medina is licensed to practice in * (Not Available) (license number ) and his current practice location is
31408 Clement St, Lake Elsinore, California. He can be reached at his office (for appointments etc.) via phone at
(714) 225-3314.
NPI number for Rudy Medina is 1982496360 and his current mailing address is 31408 Clement St, Lake Elsinore, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1982496360.
Provider's Profile
| Full Name | Rudy Medina |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 31408 Clement St, Lake Elsinore, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1982496360
- Provider Enumeration Date: 05/21/2025
- Last Update Date: 05/22/2025
Medical Identifiers
Medical identifiers for Rudy Medina such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982496360 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Rudy Medina is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Rudy Medina,
31408 Clement St,
Lake Elsinore, CA 92530-5105
Ph: (714) 225-3314 | Rudy Medina,
31408 Clement St,
Lake Elsinore, CA 92530-5105
Ph: (714) 225-3314 |
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