# SUPERIOR MEDICAL ENTERPRISE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396979738
- **Authorized official:** IFEATU M EJIZU (PRESIDENT)
- **Authorized official phone:** (310) 329-2133

## Contact information

- **Practice address:** 17420 AVALON BLVD, STE 204, CARSON, CA 90746-1564
- **Practice address phone:** (310) 329-2133
- **Practice address fax:** (310) 329-2132
- **Mailing address:** 17420 AVALON BLVD, STE 204, CARSON, CA 90746-1564
- **Mailing address phone:** (310) 329-2133
- **Mailing address fax:** (310) 329-2132

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | CA | Yes |

## Other

- **Enumeration date:** 05/13/2009
- **Last updated:** 05/06/2010