Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Superior Multi Specialty Medical Clinic Inc

Organization General Practice Physician · NPI 1770774366

Superior Multi Specialty Medical Clinic Inc is a General Practice Physician in Los Angeles, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
Specialties on file
6
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11600 Venice Blvd
Los Angeles, CA 90066-4014
Phone: (310) 390-9551
Fax: (310) 390-9296
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Emergency Care Clinic/Center Taxonomy 261QE0002X · Licence A50372 (CA)
Multi-Specialty Clinic/Center Taxonomy 261QM1300X · Licence A50372 (CA)
Medical Specialty Clinic/Center Taxonomy 261QM2500X · Licence A50372 (CA)
Pain Clinic/Center Taxonomy 261QP3300X · Licence A50372 (CA)
Urgent Care Clinic/Center Taxonomy 261QU0200X · Licence A50312 (CA)

Record details

NPI number1770774366
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Reza Ehsan — Medical Director · (310) 390-9551
Other names Superior Medical Clinic
NPI enumeratedAugust 7, 2007
Last updated in NPPESFebruary 22, 2010
Mailing address11600 Venice Blvd, Los Angeles, CA 90066-4014

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