Superior Family Medical Group INC
NPI #1568645653 in Newport Beach, California
Provider Information
- NPI Number
- 1568645653
- Entity Type
- Organization
- Organization Name
- Superior Family Medical Group INC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Dec 11, 2007
- Last Updated
- Apr 2, 2009
Practice Location
- Address
- 1419 SUPERIOR AVE
- Address 2
- 1
- City
- Newport Beach
- State
- California
- ZIP Code
- 92663-2723
- Phone
- (949) 650-0587
Authorized Official
- Name
- DR. RAFAEL RAFAEL PENUNURI, MD
- Title
- PRESIDENT
- Phone
- (949) 650-0587
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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