Organization
SUPERIOR CARE MEDICAL CENER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA MACIAS (PRACTICE MANAGER)
(310) 225-3640
Entity
Organization
Contact information
Practice address
15401 S MAIN ST, GARDENA, CA 90248-2214
(310) 225-3640
(310) 225-3644
Mailing address
15401 S MAIN ST, GARDENA, CA 90248-2214
(310) 225-3640
(310) 225-3644
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
A22315
CA
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
A22315
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
WORKERS COMP / PRIVATE CARE
—
Enumeration date
04/28/2014
Last updated
04/28/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us