| Organization Name: | SUPERIOR CARE MEDICAL CENER |
| NPI Number: | 1033529250 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PATRICIA MACIAS (PRACTICE MANAGER) |
| Mailing Address: | 15401 S Main St Gardena |
| State: | CA US |
| Postal Code: | 902482214 |
| Phone Number: | 3102253640 |
| Fax Number: | 3102253644 |
| NPI Enumeration Date: | 04/28/2014 |
| NPI Last Update Date: | 04/28/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2083P0500X |
| License Number: | A22315 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Preventive Medicine |
| Taxonomy Specialization: | Preventive Medicine/Occupational Environmental Medicine |
| Taxonomy Definition: | A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |