| Superior Medical Group | |
|
101 E Valencia Mesa Dr Fullerton CA 92835-3809 | |
| (714) 871-3280 | |
| Not Available |
| Full Name | Superior Medical Group |
|---|---|
| Speciality | Hospitalist |
| Location | 101 E Valencia Mesa Dr, Fullerton, California |
| Authorized Official Name and Position | Lutfi A Sayyur (PRESIDENT) |
| Authorized Official Contact | 7146518138 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Superior Medical Group 3943 Irvine Blvd # 407 Irvine CA 92602-2400 Ph: (714) 651-8138 | Superior Medical Group 101 E Valencia Mesa Dr Fullerton CA 92835-3809 Ph: (714) 871-3280 |
| NPI Number | 1780961474 |
|---|---|
| Provider Enumeration Date | 11/08/2011 |
| Last Update Date | 05/30/2022 |
| Medicare PECOS PAC ID | 9739347774 |
|---|---|
| Medicare Enrollment ID | O20120222000962 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780961474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (California) | Secondary |
| 208M00000X | Hospitalist | (* (Not Available)) | Primary |
| Provider Name | James Huang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518992635 PECOS PAC ID: 8123066826 Enrollment ID: I20050422000459 |
| Provider Name | Dieumy M Thai |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1639270275 PECOS PAC ID: 5395939458 Enrollment ID: I20101102001251 |
| Provider Name | Lutfi A Sayyur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174602163 PECOS PAC ID: 6406893569 Enrollment ID: I20111116000640 |
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