| Complete Care Community Health Center - Altadena | |
|
2595 E Washington Blvd Ste 106 Pasadena CA 91107-1409 | |
| (626) 794-8133 | |
| (626) 794-9163 |
| Full Name | Complete Care Community Health Center - Altadena |
|---|---|
| Speciality | Clinic/Center |
| Location | 2595 E Washington Blvd Ste 106, Pasadena, California |
| Authorized Official Name and Position | Yury Akopyan (CEO) |
| Authorized Official Contact | 3232666700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Complete Care Community Health Center - Altadena 2595 E Washington Blvd Ste 106 Pasadena CA 91107-1409 Ph: (626) 794-8133 | Complete Care Community Health Center - Altadena 2595 E Washington Blvd Ste 106 Pasadena CA 91107-1409 Ph: (626) 794-8133 |
| NPI Number | 1497207229 |
|---|---|
| Provider Enumeration Date | 10/27/2016 |
| Last Update Date | 08/23/2021 |
| Medicare PECOS PAC ID | 3779494190 |
|---|---|
| Medicare Enrollment ID | O20170106001606 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497207229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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