Complete Care Community Health Center, Inc | |
7301 State St Huntington Park CA 90255-5823 | |
(323) 581-5120 | |
Not Available |
Full Name | Complete Care Community Health Center, Inc |
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Speciality | Clinic/Center |
Location | 7301 State St, Huntington Park, 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 |
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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 7301 State St Huntington Park CA 90255-5823 Ph: (323) 581-5120 |
NPI Number | 1689219628 |
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Provider Enumeration Date | 11/13/2019 |
Last Update Date | 03/28/2022 |
Medicare PECOS PAC ID | 3779494190 |
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Medicare Enrollment ID | O20201224000229 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689219628 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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