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NPI Code Detail

MEDICARE: COMPLETE CARE COMMUNITY HEALTH CENTER, INC

MEDICARE: COMPLETE CARE COMMUNITY HEALTH CENTER, INC
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
1251T00000XPACE Provider Organization

General Provider Information

NPI Number : 1811397888
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPLETE CARE COMMUNITY HEALTH CENTER, INC
Provider Business Mailing Address
First Line : 5831 FIRESTONE BLVD STE E
Second Line :
City : SOUTH GATE
State : CA
Zip : 90280-3718
Country : US
Telephone Number : 562-806-7545
Fax Number : 562-806-6062
Provider Business Practice Location Address
First Line : 5831 FIRESTONE BLVD STE E
Second Line :
City : SOUTH GATE
State : CA
Zip : 90280-3718
Country : US
Telephone Number : 562-806-7545
Fax Number : 562-806-6062
Authorized Official
Title or Position : CEO
Name : MR. YURY AKOPYAN
Credential :
Telephone Number : 562-806-7545
Provider Enumeration Date : 08/27/2014
Last Update Date : 04/05/2023

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Directions to “COMPLETE CARE COMMUNITY HEALTH CENTER, INC ” Practice Location

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