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NPI Code Detail

MEDICARE: COMPREHENSIVE CARE SOLUTIONS, LLC

MEDICARE: COMPREHENSIVE CARE SOLUTIONS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianPA

General Provider Information

NPI Number : 1053863001
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPREHENSIVE CARE SOLUTIONS, LLC
Provider Business Mailing Address
First Line : 2000 16TH ST
Second Line : ATTN: VILLAGEHEALTH INTEGRATED CARE PARTNERSHIPS
City : DENVER
State : CO
Zip : 80202-5117
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2000 16TH ST
Second Line : ATTN: VILLAGEHEALTH INTEGRATED CARE PARTNERSHIPS
City : DENVER
State : CO
Zip : 80202-5117
Country : US
Telephone Number : 303-876-7346
Fax Number :
Authorized Official
Title or Position : SOLE OWNER
Name : CHAN CHUANG
Credential : M.D.
Telephone Number : 310-354-4219
Provider Enumeration Date : 10/25/2016
Last Update Date : 10/25/2016

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Directions to “COMPREHENSIVE CARE SOLUTIONS, LLC ” Practice Location

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