Provider Demographics
NPI:1578751368
Name:COMPLETE MEDICAL CARE INC.
Entity Type:Organization
Organization Name:COMPLETE MEDICAL CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMEER
Authorized Official - Middle Name:S
Authorized Official - Last Name:DANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-751-0995
Mailing Address - Street 1:17150 EUCLID ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-4092
Mailing Address - Country:US
Mailing Address - Phone:714-751-0995
Mailing Address - Fax:714-751-1005
Practice Address - Street 1:17150 EUCLID ST
Practice Address - Street 2:SUITE 200
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-4092
Practice Address - Country:US
Practice Address - Phone:714-751-0995
Practice Address - Fax:714-751-1005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-05
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA24948207RC0000X
CAA31227208D00000X
CA20A3365208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty