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Organization
SUPERIOR MULTI-SPECIALTY MEDICAL GROUP INC OF CA
Active
Organization
SUPERIOR MULTI-SPECIALTY MEDICAL GROUP INC OF CA
Active
Other names
Superior Multi-Specialty Medical Group Inc of CA
Organization subpart
No
Provider details
NPI number
Authorized official
RAMIN AMIRNOVIN M.D. (PRESIDENT/DIRECTOR)
(909) 989-6469
Entity
Organization
Contact information
Practice address
8645 HAVEN AVE, SUITE#700, RANCHO CUCAMONGA, CA 91730-4818
(909) 989-6469
(909) 989-6469
Mailing address
10808 FOOTHILL BLVD, SUITE 160-511, RANCHO CUCAMONGA, CA 91730-3889
(909) 989-6469
(909) 989-6469
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A98619
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497736334
NPI NUMBER
CA
Enumeration date
05/19/2009
Last updated
10/09/2009
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