Superior Multi Specialty Medical Clinic Inc. in Los Angeles - Emergency Care
Superior Multi Specialty Medical Clinic Inc. - NPI 1770774366
Superior Multi Specialty Medical Clinic Inc. is a Emergency Care in Los Angeles, California. Superior Multi Specialty Medical Clinic Inc. practices all healthcare services and medical treatments related to Emergency Care. The NPI Number for Superior Multi Specialty Medical Clinic Inc. is 1770774366. The last update date is 2010-02-22.
Superior Multi Specialty Medical Clinic Inc.'s current location address is 11600 Venice Blvd, Los Angeles, California. You can contact this provider via phone number 3103909551 and fax number 3103909296. The mailing address for Superior Multi Specialty Medical Clinic Inc. is 11600 Venice Blvd, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Superior Multi Specialty Medical Clinic Inc. |
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Address | 11600 Venice Blvd, Los Angeles, California |
Phone Number | 3103909551 |
Fax Number | 3103909296 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | MEDICAL DI |
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Authorized Official Name | Ehsan Ray Reza |
Credentials | M.D. |
Telephone Number | 3103909551 |
NPI Number Detail
NPI Number | 1770774366 |
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Provider Enumeration Date | 2007-08-07 |
Last Updated Date | 2010-02-22 |
Provider Mailing Address Detail
Address | 11600 Venice Blvd |
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City | Los Angeles |
State | California (CA) |
Post Code | 900664014 |
Phone Number | 3103909551 |
Fax Number | 3103909296 |
Provider's Primary Taxonomy Detail
Speciality | Emergency Care |
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Taxonomy | 261Qe0002X |
Licence No | A50372 |
Definition: Treats injuries, sudden illnesses, and other urgent health conditions without an appointment. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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1770774366 | CA | -- |
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What is the Superior Multi Specialty Medical Clinic Inc.'s 1770774366?
The Superior Multi Specialty Medical Clinic Inc.'s NPI (National Provider Identifier) Number is 1770774366. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Superior Multi Specialty Medical Clinic Inc.'s facilities are situated?
The facilities of Superior Multi Specialty Medical Clinic Inc. are physically located at the following address: 11600 Venice Blvd, Los Angeles, CA, 900664014.
What is Superior Multi Specialty Medical Clinic Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Superior Multi Specialty Medical Clinic Inc. is Emergency Care, and the taxonomy code that categorizes this field of expertise is 261Qe0002X.
On what date was the 1770774366 assigned to Superior Multi Specialty Medical Clinic Inc.?
The Superior Multi Specialty Medical Clinic Inc. was issued its 1770774366 on 2007-08-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Superior Multi Specialty Medical Clinic Inc. most recently updated or revised?
The details related to Superior Multi Specialty Medical Clinic Inc., including its address, specialty, and other relevant information, were last updated or revised on 2010-02-22.
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