institution
Superior Multi-specialty Medical Group Inc Of Ca
Specialist in Rancho Cucamonga, California
NPI 1316172323

Superior Multi-specialty Medical Group Inc Of Ca is a Specialist based in Rancho Cucamonga, CA. Superior Multi-specialty Medical Group Inc Of Ca practices in Rancho Cucamonga, CA. The NPI Number for Superior Multi-specialty Medical Group Inc Of Ca is 1316172323 and holds a License No. A98619 (California).

The current practice location address for Superior Multi-specialty Medical Group Inc Of Ca is 8645 Haven Ave, Rancho Cucamonga, CA and can be reached out via phone at 909-989-6469 and via fax at 909-989-6469.

Location: 8645 Haven Ave, Rancho Cucamonga, CA, 91730-3889
institution
Provider Profile Details
NPI Number
1316172323
Provider Name
Superior Multi-specialty Medical Group Inc Of Ca
Credential
Provider Entity Type
Organization
Address
8645 Haven Ave, Rancho Cucamonga, CA, 91730-3889
Phone Number
909-989-6469
Fax Number
909-989-6469
Provider Enumeration Date
05/19/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1497736334 01 CA NPI NUMBER
institution
Provider Business Practice Location Address Details
Address
8645 Haven Ave
City
State
Zip
91730-4818
Phone Number
909-989-6469
Fax Number
909-989-6469
person
Provider Business Mailing Address Details
Address
8645 Haven Ave
City
State
Zip
91730-4818
Phone Number
909-989-6469
Fax Number
909-989-6469
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
A98619 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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