Paul J Super (NPI# 1649499807, PAC ID# 7911988142) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1649499807 |
| PAC ID by PECOS | 7911988142 |
| Professional Enrollment ID | I20040525001014 |
| Full Name | Paul J Super |
| Address |
11696 San Vicente Blvd Los Angeles CA 90049-5104 |
| Gender | M |
| Credential | OD |
| Medical School | UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY |
| Graduation Year | 1981 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 11696 San Vicente Blvd, Los Angeles, CA 90049-5104 |
| Street Address |
11696 SAN VICENTE BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip | 90049-5104 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Armin Richard Baier Jr. | Clinical Social Worker | 1041 N Bundy Dr, Los Angeles, CA 90049-1510 | |
| Abolghasem M Tehrani | Psychiatry | 11260 Chalon Rd, Los Angeles, CA 90049-1719 | |
| Rosalyn Benitez-bloch | Clinical Social Worker | 737 Halliday Ave, Los Angeles, CA 90049-2041 | |
| David C Thornton | Nurse Practitioner | Ehab Yacoub Md Inc. | 651 N Sepulveda Blvd, Suite 2b, Los Angeles, CA 90049-2186 |
| Ehab Yacoub | Psychiatry | Ehab Yacoub Md Inc. | 651 N Sepulveda Blvd, Suite 2b, Los Angeles, CA 90049-2186 |
| Pedro E Morante | Nurse Practitioner | Ehab Yacoub Md Inc. | 651 N Sepulveda Blvd, Suite 2b, Los Angeles, CA 90049-2186 |
| Andrea Lynn Sczesny | Nurse Practitioner | Ehab Yacoub Md Inc. | 651 N Sepulveda Blvd, Suite 2b, Los Angeles, CA 90049-2186 |
| Shahrooz Eshaghian | Hematology/oncology | 470 N Robinwood Dr, Los Angeles, CA 90049-2328 | |
| Farah Gozini | Optometry | 11718 Barrington Ct, Los Angeles, CA 90049-2930 | |
| Maral Touna Arpi H Donabedian | Internal Medicine | 130 S Sepulveda Blvd, Unit 105, Los Angeles, CA 90049-3150 | |
| Find all physicians in zip 90049 | |||
| City | LOS ANGELES |
| Zip Code | 90049 |
| Specialty | OPTOMETRY |
| City + Specialty | LOS ANGELES + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.