MEDICARE: COMPLETE CARE CALIFORNIA

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
1	2084P0800X	Psychiatry Physician
2	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1326901380
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPLETE CARE CALIFORNIA

Provider Business Mailing Address
First Line	:	11800 CENTRAL AVE STE 125
Second Line	:
City	:	CHINO
State	:	CA
Zip	:	91710-7202
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11800 CENTRAL AVE STE 125
Second Line	:
City	:	CHINO
State	:	CA
Zip	:	91710-7202
Country	:	US
Telephone Number	:	909-517-2020
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL DIRECTOR
Name	:	YASER SELIM
Credential	:	LMFT
Telephone Number	:	909-440-3423

Provider Enumeration Date	:	12/06/2025
Last Update Date	:	12/06/2025

Similar Medicare Providers

1952959348 — DARRILYN BILLEW DEMOUCHET MSN, APRN, PMHNP-BC
Practice Location Address:

11800 CENTRAL AVE STE 125
CHINO, CA
91710-7202

Practice Phone: 909-997-5333
Practice Fax:

1417541087 — AMY CAMERON PMHNP-BC
Practice Location Address:

11800 CENTRAL AVE STE 125
CHINO, CA
91710-7202

Practice Phone: 909-517-2020
Practice Fax:

1295697829 — JAMIE SOFIA GUTIERREZ OTR/L
Practice Location Address:

14850 CENTRAL AVE
CHINO, CA
91710-9509

Practice Phone: 909-597-0504
Practice Fax:

1548146111 — RODEF DENTAL OFFICE OF CHINO HILLS INC.
Practice Location Address:

12171 CENTRAL AVE SUITE 11
CHINO, CA
91710-2154

Practice Phone: 909-781-4453
Practice Fax:

1013870120 — JULIE AU DMD INC.
Practice Location Address:

13641 CENTRAL AVE STE G
CHINO, CA
91710-5133

Practice Phone: 909-628-2333
Practice Fax:

1902800253 — DR. DANIEL JENKINS D.D.S.
Practice Location Address:

12854 10TH ST
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91710-4255

Practice Phone: 909-628-5540
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Directions to “COMPLETE CARE CALIFORNIA ” Practice Location

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