Superior Multi Specialty Medical Clinic Inc.
NPI 1770774366 · General Practice Physician · Los Angeles, CA
Superior Multi Specialty Medical Clinic Inc. is a General Practice Physician organization in Los Angeles, CA (NPI 1770774366).
Provider details
- NPI number
- 1770774366
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Reza Ehsan, Medical Director(310) 390-9551
- License
- A50372 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Superior Medical Clinic
Registry dates
- Enumerated
- 2007-08-07
- Last updated
- 2010-02-22
Frequently asked questions
- What is Superior Multi Specialty Medical Clinic Inc.'s NPI number?
- Superior Multi Specialty Medical Clinic Inc.'s National Provider Identifier (NPI) is 1770774366, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Superior Multi Specialty Medical Clinic Inc.?
- Superior Multi Specialty Medical Clinic Inc. is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Superior Multi Specialty Medical Clinic Inc. located?
- Superior Multi Specialty Medical Clinic Inc.'s practice location on file with NPPES is 11600 Venice Blvd, Los Angeles, CA 90066-4014.
- What is Superior Multi Specialty Medical Clinic Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Superior Multi Specialty Medical Clinic Inc. is (310) 390-9551.
- Who is the authorized official for Superior Multi Specialty Medical Clinic Inc.?
- The authorized official listed on Superior Multi Specialty Medical Clinic Inc.'s NPPES record is Reza Ehsan, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Superior Multi Specialty Medical Clinic Inc.'s NPI active?
- Yes — Superior Multi Specialty Medical Clinic Inc.'s NPI (1770774366) is active in the NPPES registry as of the last update on 2010-02-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.