Provider Demographics
NPI:1811397888
Name:COMPLETE CARE COMMUNITY HEALTH CENTER, INC
Entity Type:Organization
Organization Name:COMPLETE CARE COMMUNITY HEALTH CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:YURY
Authorized Official - Middle Name:
Authorized Official - Last Name:AKOPYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-806-7545
Mailing Address - Street 1:5831 FIRESTONE BLVD STE E
Mailing Address - Street 2:
Mailing Address - City:SOUTH GATE
Mailing Address - State:CA
Mailing Address - Zip Code:90280-3718
Mailing Address - Country:US
Mailing Address - Phone:562-806-7545
Mailing Address - Fax:562-806-6062
Practice Address - Street 1:5831 FIRESTONE BLVD STE E
Practice Address - Street 2:
Practice Address - City:SOUTH GATE
Practice Address - State:CA
Practice Address - Zip Code:90280-3718
Practice Address - Country:US
Practice Address - Phone:562-806-7545
Practice Address - Fax:562-806-6062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-27
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization