Superpower Medical Group of Ca PC

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

Legal business name

SUPERPOWER MEDICAL GROUP OF CA PC

Practice address

11209 National Blvd Unit 1016
Los Angeles, CA 90064-3902

Phone

(323) 333-9634

NPI assigned

May 16, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Abraham Malkin, MD

Title

Owner, President

Phone

(323) 333-9634

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1740039130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11209 NATIONAL BLVD UNIT 1016",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900643902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11209 NATIONAL BLVD UNIT 1016",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900643902",
            "telephone_number": "323-333-9634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERPOWER MEDICAL GROUP OF CA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-16",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "MALKIN",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "323-333-9634",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Super Kids ABA Center LLC
• Paul Jonathan Super, OD
• Supercare Depot Inc
• Superior Hospitalist Medical Group Inc
• Superior Multi Specialty Medical Clinic Inc.
• Supervista North America
• Pam Suphaphinant
• Benjamin Supkoff
• Gabriela Supple, PA-C
• Julie Ann Supple, NP-C

• Public Health & General Preventive Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Public Health & General Preventive Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.