| Superior Pysical Medicne | |
|
22222 La Palma Ave Yorba Linda CA 92887-3813 | |
| (714) 692-7139 | |
| (714) 692-7141 |
| Full Name | Superior Pysical Medicne |
|---|---|
| Speciality | Family Medicine |
| Location | 22222 La Palma Ave, Yorba Linda, California |
| Authorized Official Name and Position | Kevin Lawrence Shaevitz (PRESIDENT) |
| Authorized Official Contact | 7146927139 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Superior Pysical Medicne 22222 La Palma Ave Yorba Linda CA 92887-3813 Ph: (714) 692-7139 | Superior Pysical Medicne 22222 La Palma Ave Yorba Linda CA 92887-3813 Ph: (714) 692-7139 |
| NPI Number | 1457632887 |
|---|---|
| Provider Enumeration Date | 08/30/2011 |
| Last Update Date | 08/30/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457632887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A062657 (California) | Primary |
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