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SUPERIOR MEDICAL CLINIC
NPI 1770774366
General Practice in Los Angeles, CA

Active since August 07, 2007
11600 VENICE BLVD, LOS ANGELES, CA 90066(310) 390-9551(310) 390-9296 Get Directions Write a Review

NPPES record last updated: February 22, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Superior Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUPERIOR MEDICAL CLINIC (NPI 1770774366) is a healthcare organization registered as a general practice in Los Angeles, California and active in the NPI registry since August 2007. The organization lists Reza Ray Ehsan, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1770774366
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameSUPERIOR MULTI SPECIALTY MEDICAL CLINIC INC.
Location Address11600 VENICE BLVDLos Angeles, CA 90066-4014
Mailing Address11600 Venice BlvdLos Angeles, CA 90066-4014 · (310) 390-9551 · Fax (310) 390-9296
Phone(310) 390-9551
Fax(310) 390-9296
Organization SubpartNo
Authorized OfficialReza Ray EhsanMedical Director · (310) 390-9551
Enumeration DateAugust 7, 2007
Last NPPES UpdateFebruary 22, 2010
✔ NPI 1770774366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedClinic/Center · Emergency CareTaxonomy 261QE0002X · License A50372 (CA)
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X · License A50372 (CA)
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X · License A50372 (CA)
Also ListedClinic/Center · PainTaxonomy 261QP3300X · License A50372 (CA)
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X · License A50312 (CA)
11600 VENICE BLVD, Los Angeles, CA 90066
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Other Names 1

Other NameSuperior Medical Clinic

Other Identifiers 2

Medicaid1770774366CA
Medicare NSC1770774366CA

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN RACHEL ALBERSTONE PA-C
Physician Assistant (Medical)
11600 VENICE BLVD
LOS ANGELES, CA 90066
Los Angeles County (805) 910-6376
ANAHEIM URGENT CARE, INC.
Clinic/Center (Urgent Care)
11600 VENICE BLVD
LOS ANGELES, CA 90066
Los Angeles County (310) 390-9551
REZA RAY EHSAN M.D.
Anesthesiology (Pain Medicine)
11600 VENICE BLVD
LOS ANGELES, CA 90066
Los Angeles County (310) 390-9551

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Superior Multi Specialty Medical Clinic Inc.'s NPI number?

The NPI number for Superior Multi Specialty Medical Clinic Inc. is 1770774366. It was assigned to this organization in the NPPES registry on August 7, 2007. The provider is also known as Superior Medical Clinic.

Where is Superior Multi Specialty Medical Clinic Inc. located?

Superior Multi Specialty Medical Clinic Inc. is located at 11600 Venice Blvd, Los Angeles, CA 90066. The listed phone number is (310) 390-9551.

What is Superior Multi Specialty Medical Clinic Inc.'s specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Superior Multi Specialty Medical Clinic Inc. was last updated on February 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.