Provider Demographics
NPI:1073394110
Name:COMPLETE HUMAN CARE PC
Entity Type:Organization
Organization Name:COMPLETE HUMAN CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEAD OF BUSINESS OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:MICHELL
Authorized Official - Middle Name:
Authorized Official - Last Name:HUYNH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-529-7768
Mailing Address - Street 1:8605 SANTA MONICA BLVD
Mailing Address - Street 2:
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90069-4109
Mailing Address - Country:US
Mailing Address - Phone:510-529-7768
Mailing Address - Fax:302-400-8118
Practice Address - Street 1:11201 N TATUM BLVD STE 300
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85028-6039
Practice Address - Country:US
Practice Address - Phone:510-529-7768
Practice Address - Fax:302-400-8118
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE COMPLETE HUMAN CARE PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-10-12
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty