Provider Demographics
NPI:1144782491
Name:COMPLETE WOMEN CARE, INC.
Entity Type:Organization
Organization Name:COMPLETE WOMEN CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:NIETO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-424-8422
Mailing Address - Street 1:3711 LONG BEACH BLVD STE 110
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-3300
Mailing Address - Country:US
Mailing Address - Phone:562-424-8422
Mailing Address - Fax:562-424-8770
Practice Address - Street 1:550 DEEP VALLEY DR STE 279
Practice Address - Street 2:
Practice Address - City:ROLLING HILLS ESTATES
Practice Address - State:CA
Practice Address - Zip Code:90274-7602
Practice Address - Country:US
Practice Address - Phone:562-424-8422
Practice Address - Fax:562-424-8770
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMPLETE WOMEN CARE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-04-04
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty