Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Superior Multi Specialty Medical Clinic Inc

Organization General Practice Physician · NPI 1770774366

Superior Multi Specialty Medical Clinic Inc provides General Practice Physician services 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 Not confirmed with CMS for 16 years — call before visiting
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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