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SUPERIOR CARE MEDICAL CENER NPI 1033529250


NPI Information

NPI: 1033529250
Provider Name: SUPERIOR CARE MEDICAL CENER
Classification: Emergency Medical Technician, Paramedic - 146L00000X
Entity Type: Organization
Address:
15401 S MAIN ST
GARDENA, CA
ZIP 90248
Phone: (310) 225-3640
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SUPERIOR CARE MEDICAL CENER is an emergency medical technician paramedic in Gardena, CA. The provider is an EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. SUPERIOR CARE MEDICAL CENER NPI is 1033529250. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

15401 S MAIN ST
GARDENA, CA
ZIP 90248-214
Phone: (310) 225-3640
Fax: (310) 225-3644

The provider's authorized official is Patricia Macias .
The authorized official title is Practice Manager and has the following contact phone number (310) 225-3640.

The enumeration date for this NPI number is 4/28/2014 and was last updated on 4/28/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12083P0500XPreventive MedicinePreventive Medicine/Occupational Environmental MedicineA22315CALIFORNIANo
2146L00000XEmergency Medical Technician, ParamedicA22315CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10OTHERWORKERS COMP / PRIVATE CARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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