Healthcare Provider Details

I. General information

NPI: 1326901380
Provider Name (Legal Business Name): COMPLETE CARE CALIFORNIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2025
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11800 CENTRAL AVE STE 125
CHINO CA
91710-7202
US

IV. Provider business mailing address

11800 CENTRAL AVE STE 125
CHINO CA
91710-7202
US

V. Phone/Fax

Practice location:
  • Phone: 909-517-2020
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: YASER SELIM
Title or Position: CLINICAL DIRECTOR
Credential: LMFT
Phone: 909-440-3423