Complete Care Community Health Center, INC
Clinic/Center, Federally Qualified Health Center (FQHC) in Vista, CA. Organization (NPI-2).
NPI number1750163846
StatusActive
Last updated in NPPESOct 16, 2023
Details
- NPI
- 1750163846
- Entity type
- Organization (NPI-2)
- Legal business name
- Complete Care Community Health Center, INC
- Organization subpart
- No
- Enumeration date
- Oct 16, 2023
- Certification date
- Oct 14, 2023
- Last updated
- Oct 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Practice location
2023 W Vista Way Ste JVista, CA 92083-6030
Phone 310-730-6362
Mailing address
3000 S Robertson Blvd Ste 280Los Angeles, CA 90034-3144
Phone 310-730-6362
Authorized official
Yury Akopyan
Ceo
3107306362
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