Healthcare Provider Details

I. General information

NPI: 1013387208
Provider Name (Legal Business Name): COMPCARE MEDICAL GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2015
Last Update Date: 09/30/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1021 S 7TH AVE SUITE 102
PHOENIX AZ
85007-3725
US

IV. Provider business mailing address

7007 WASHINGTON AVE STE 240
WHITTIER CA
90602-3619
US

V. Phone/Fax

Practice location:
  • Phone: 602-344-9377
  • Fax:
Mailing address:
  • Phone: 562-684-1888
  • Fax: 562-698-8884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number4341
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC22101
License Number StateCA

VIII. Authorized Official

Name: DR. CHRISTOPHER ARMSTRONG
Title or Position: CHIROPRACTOR
Credential: D.C
Phone: 562-280-7199