NPI | 1982880118 |
---|---|
Doing Business As | SUPERIOR CHOICE MEDICAL GROUP, INC. |
Entity Type | Organization |
Authorized Contact | SHERRI DIANE SIEMEN Credentialing/Operations Consultant 951-219-3799 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2008-01-17 |
Last Update Date | 2020-03-25 |