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COMPLETE INFUSION CARECICINC NPI 1295823318


NPI Information

NPI: 1295823318
Provider Name: COMPLETE INFUSION CARE,CIC,INC
Classification: Pharmacy - 3336H0001X
Entity Type: Organization

Specialization: Home Infusion Therapy Pharmacy

Address:
2310 S SEPULVEDA BLVD
LOS ANGELES, CA
ZIP 90064
Phone: (310) 836-6666
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COMPLETE INFUSION CARE,CIC,INC is a home infusion therapy pharmacy pharmacy in Los Angeles, CA. The provider is pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. COMPLETE INFUSION CARE,CIC,INC NPI is 1295823318. The provider is registered as an organization entity type.

The provider's business location address is:

2310 S SEPULVEDA BLVD
LOS ANGELES, CA
ZIP 90064-911
Phone: (310) 836-6666
Fax: (310) 836-6675

The provider's authorized official is Michael Houske .
The authorized official title is General Counsel And Executive Vp and has the following contact phone number (310) 836-6666.

The enumeration date for this NPI number is 10/11/2006 and was last updated on 1/5/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0004XPharmacyCompounding PharmacyNo
23336L0003XPharmacyLong Term Care PharmacyNo
33336S0011XPharmacySpecialty PharmacyNo
43336H0001XPharmacyHome Infusion Therapy PharmacyPHY46839CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PHA468390MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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