Provider Demographics
NPI:1184514952
Name:SUPERIOR MENTAL WELLNESS INC
Entity type:Organization
Organization Name:SUPERIOR MENTAL WELLNESS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OSMOND
Authorized Official - Middle Name:
Authorized Official - Last Name:WAHEED
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:714-612-0939
Mailing Address - Street 1:5433 SUNSET RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:JURUPA VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92509-3960
Mailing Address - Country:US
Mailing Address - Phone:714-612-0939
Mailing Address - Fax:
Practice Address - Street 1:5353 G ST
Practice Address - Street 2:
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-5250
Practice Address - Country:US
Practice Address - Phone:909-590-3700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-03
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty