Superior Medical Clinic
LBN: Superior Multi Specialty Medical Clinic Inc.
Superior Medical Clinic is an health care organization with primary practice located at 11600 Venice Blvd , Los Angeles CA 90066-4014. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Emergency Care, Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Medical Specialty, Ambulatory Health Care Facilities / Pain, Ambulatory Health Care Facilities / Urgent Care. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty.
Superior Multi Specialty Medical Clinic Inc. can be contacted via phone (310) 390-9551, or through Ehsan, Reza Ray via phone (310) 390-9551.
Contact Information
Primary practice address
11600 Venice Blvd
Los Angeles CA 90066-4014
Phone: (310) 390-9551
Fax: (310) 390-9296
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ||
| Ambulatory Health Care Facilities / Emergency Care | 261QE0002X | A50372 | California |
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X | A50372 | California |
| Ambulatory Health Care Facilities / Medical Specialty | 261QM2500X | A50372 | California |
| Ambulatory Health Care Facilities / Pain | 261QP3300X | A50372 | California |
| Ambulatory Health Care Facilities / Urgent Care | 261QU0200X | A50312 | California |
Profile Details
| NPI number | 1770774366 |
|---|---|
| LBN Legal business name | Superior Multi Specialty Medical Clinic Inc. |
| DBA Doing business as | Superior Medical Clinic |
| Authorized official | Ehsan, Reza Ray Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 7th, 2007 |
| Last updated | Feb 22nd, 2010 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770774366 | NPPES |
| California | MEDICAID | 1770774366 |
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