Organization
SUPERIOR HOSPITALIST MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN MARON MD (PHYSICIAN)
(925) 255-5837
Entity
Organization
Contact information
Practice address
1680 E 120TH ST, LOS ANGELES, CA 90059-3026
(330) 493-4443
Mailing address
4535 DRESSLER RD NW, CANTON, OH 44718-2545
(330) 493-4443
(330) 493-8677
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780047712
—
CA
Enumeration date
03/29/2016
Last updated
06/24/2021
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