Organization · Type 2 NPI
Superior Multi Specialty Medical Clinic Inc.
General Practice Physician · Los Angeles, CA
NPI number
1770774366
Active
Practice location
11600 Venice Blvd
Los Angeles, CA 90066-4014
Fax (310) 390-9296
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
| Emergency Care Clinic/Center | 261QE0002X | A50372 (CA) |
| Multi-Specialty Clinic/Center | 261QM1300X | A50372 (CA) |
| Medical Specialty Clinic/Center | 261QM2500X | A50372 (CA) |
| Pain Clinic/Center | 261QP3300X | A50372 (CA) |
| Urgent Care Clinic/Center | 261QU0200X | A50312 (CA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
3 other providers at this address
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About NPI 1770774366
Superior Multi Specialty Medical Clinic Inc.'s National Provider Identifier is 1770774366, issued on Aug 7, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Los Angeles, CA. The record was last updated on Feb 22, 2010.