NPI Code Detail JSON Logo

1073394110 NPI number — COMPLETE HUMAN CARE PC

NPI Number: 1073394110
Health Care Provider/Practitioner: COMPLETE HUMAN CARE PC

Information about “1073394110” NPI (COMPLETE HUMAN CARE PC) exists in 1073394110 in HTML format HTML  |  1073394110 in plain Text format TXT  |  1073394110 in PDF (Portable Document Format) PDF  |  1073394110 in an XML format XML  formats.

NPI Number : 1073394110 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1073394110",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "THE COMPLETE HUMAN CARE PLLC",
    "ParentOrgTIN": null,
    "OrgName": "COMPLETE HUMAN CARE PC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "8605 SANTA MONICA BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WEST HOLLYWOOD",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90069-4109",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "510-529-7768",
    "MailingAddressFaxNumber": "302-400-8118",
    "FirstLinePracticeLocationAddress": "11201 N TATUM BLVD STE 300",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PHOENIX",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85028-6039",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "510-529-7768",
    "PracticeLocationAddressFaxNumber": "302-400-8118",
    "EnumerationDate": "10/12/2023",
    "LastUpdateDate": "10/17/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HUYNH",
    "AuthorizedOfficialFirstName": "MICHELL",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "HEAD OF BUSINESS  OPERATIONS",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "510-529-7768",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363LP0808X",
          "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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