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Organization
SUPERIOR FAMILY MEDICAL GROUP INC
Active
Organization
SUPERIOR FAMILY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFAEL RAFAEL PENUNURI MD (PRESIDENT)
(949) 650-0587
Entity
Organization
Contact information
Practice address
1419 SUPERIOR AVE, 1, NEWPORT BEACH, CA 92663-2723
(949) 650-0587
(949) 631-8155
Mailing address
1419 SUPERIOR AVE, 1, NEWPORT BEACH, CA 92663-2723
(949) 650-0587
(949) 631-8155
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
CA
Other
Enumeration date
12/11/2007
Last updated
04/02/2009
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