Search › California › 152W00000X
Paul Super, OD
NPI 1649499807 · on the registry since 2007
Practice
- Address
- 11696 San Vicente Blvd
Los Angeles, CA 90049 - Phone
- (310) 820-2020
- Fax
- (310) 820-1884
- Clinicians at this address
- 2
Additional practice sites
- 2940 N Beverly Glen Cir, Los Angeles, CA
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152WC0802X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-12-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California