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General NPI Number Information
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NPI Number | 1326901380
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Entity Type | Organization
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Legal Business Name | COMPLETE CARE CALIFORNIA
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Dates
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Enumeration Date | 12/06/2025
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Last Update Date | 12/06/2025
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Provider Practice Location Address
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Address Line | 11800 CENTRAL AVE STE 125
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City | CHINO
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State | CA
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Zip | 91710-7202
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Country | US
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Telephone | 909-517-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 11800 CENTRAL AVE STE 125
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City | CHINO
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State | CA
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Zip | 91710-7202
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | YASER SELIM
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Credential | LMFT
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Telephone | 909-440-3423
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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