| NPI | 1457632887 |
|---|---|
| Doing Business As | SUPERIOR PYSICAL MEDICNE |
| Entity Type | Organization |
| Authorized Contact | KEVIN LAWRENCE SHAEVITZ President 714-692-7139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A062657) |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2011-08-30 |