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COMPLETE CARE COMMUNITY HEALTH CENTER INC NPI 1497207229


NPI Information

NPI: 1497207229
Provider Name: COMPLETE CARE COMMUNITY HEALTH CENTER, INC

Doing Business As: COMPLETE CARE COMMUNITY HEALTH CENTER - ALTADENA

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 05D2177963

Address:
2595 E WASHINGTON BLVD STE 106
PASADENA, CA
ZIP 91107
Phone: (626) 794-8133
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COMPLETE CARE COMMUNITY HEALTH CENTER, INC is a federally qualified health center (fqhc) clinic center in Pasadena, CA. COMPLETE CARE COMMUNITY HEALTH CENTER, INC NPI is 1497207229. The provider is registered as an organization entity type.
The provider Is Doing Business As Complete Care Community Health Center - Altadena.

The provider's business location address is:

2595 E WASHINGTON BLVD STE 106
PASADENA, CA
ZIP 91107-409
Phone: (626) 794-8133
Fax: (626) 794-9163

The provider's authorized official is Yury Akopyan .
The authorized official title is Ceo and has the following contact phone number (323) 266-6700.

The CLIA number assigned to this NPI record is 05D2177963 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/27/2016 and was last updated on 8/23/2021.


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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

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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