Healthcare Provider Details

I. General information

NPI: 1316776883
Provider Name (Legal Business Name): COMPLETE CARE HEALTH SOLUTIONS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2024
Last Update Date: 07/31/2024
Certification Date: 07/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1269 E ANAHEIM ST
LONG BEACH CA
90813-3709
US

IV. Provider business mailing address

1269 E ANAHEIM ST
LONG BEACH CA
90813-3709
US

V. Phone/Fax

Practice location:
  • Phone: 562-599-5300
  • Fax: 562-599-5388
Mailing address:
  • Phone: 562-599-5300
  • Fax: 562-599-5388

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. VISAL NGA
Title or Position: CEO
Credential: MD
Phone: 562-310-6096