institution
Superior Multi Specialty Medical Clinic Inc.
Urgent Care Clinic/Center in Los Angeles, California
NPI 1770774366

Superior Multi Specialty Medical Clinic Inc. is a Urgent Care Clinic/Center based in Los Angeles, CA and is specialized in Urgent Care. Superior Multi Specialty Medical Clinic Inc. practices in Los Angeles, CA. The NPI Number for Superior Multi Specialty Medical Clinic Inc. is 1770774366 and holds a License No. (California).

The current practice location address for Superior Multi Specialty Medical Clinic Inc. is 11600 Venice Blvd, Los Angeles, CA and can be reached out via phone at 310-390-9551 and via fax at 310-390-9296.

Location: 11600 Venice Blvd, Los Angeles, CA, 90066-4014
institution
Provider Profile Details
NPI Number
1770774366
Provider Name
Superior Multi Specialty Medical Clinic Inc.
Credential
Provider Entity Type
Organization
Address
11600 Venice Blvd, Los Angeles, CA, 90066-4014
Phone Number
310-390-9551
Fax Number
310-390-9296
Provider Enumeration Date
08/07/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1770774366 05 CA
institution
Provider Business Practice Location Address Details
Address
11600 Venice Blvd
City
State
Zip
90066-4014
Phone Number
310-390-9551
Fax Number
310-390-9296
person
Provider Business Mailing Address Details
Address
11600 Venice Blvd
City
State
Zip
90066-4014
Phone Number
310-390-9551
Fax Number
310-390-9296
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
A50312 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Emergency Care
Taxonomy
License No.
A50372 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
A50372 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
License No.
A50372 (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
person
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Pain
Taxonomy
License No.
A50372 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 6
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Urgent Care
Taxonomy
License No.
()
Definition
Definition to come...
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