| Complete Care Community Health Center, Inc | |
|
3831 Hughes Ave Ste 601 Culver City CA 90232-6844 | |
| (310) 204-0223 | |
| Not Available |
| Full Name | Complete Care Community Health Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3831 Hughes Ave Ste 601, Culver City, California |
| Authorized Official Name and Position | Yury Akopyan (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3107306362 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Complete Care Community Health Center, Inc 3000 S Robertson Blvd Ste 280 Los Angeles CA 90034-3144 Ph: (310) 730-6362 | Complete Care Community Health Center, Inc 3831 Hughes Ave Ste 601 Culver City CA 90232-6844 Ph: (310) 204-0223 |
| NPI Number | 1396380333 |
|---|---|
| Provider Enumeration Date | 11/13/2019 |
| Last Update Date | 11/13/2019 |
| Medicare PECOS PAC ID | 3779494190 |
|---|---|
| Medicare Enrollment ID | O20220607000721 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396380333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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