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General NPI Number Information
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NPI Number | 1871645184
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Entity Type | Organization
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Legal Business Name | COMPLETE CARE FAMILY MEDICAL CLINIC
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 1231 N AVALON BLVD
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City | WILMINGTON
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State | CA
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Zip | 90744-2601
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Country | US
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Telephone | 310-835-7215
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Fax | 310-835-6520
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Provider Business Mailing Address
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Address Line | 1231 N AVALON BLVD
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City | WILMINGTON
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State | CA
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Zip | 90744-2601
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Country | US
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Telephone | 310-835-7215
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Fax | 310-835-6520
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Authorized Official
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Title or Position | OWNER
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Name | DR. HOMAN SIMAN
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Credential | M.D.
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Telephone | 310-835-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A36341
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License Number State | CA
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