Active NPI
Complete Health Medg
- Public Health & General Preventive Medicine Physician
- Reseda, CA
National Provider Identifier
1356843221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- A0004884
- Legal business name
- COMPLETE HEALTH MEDG
- Practice address
- 19231 Victory Blvd Ste 452
Reseda, CA 91335-6361 - Phone
- (323) 522-4402
- NPI assigned
- Mar 6, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Adrian Von Huggen
- Title
- Office Manager
- Phone
- (323) 522-4402
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | A0004884 | CA | Primary |
Addresses
Primary practice location
19231 Victory Blvd Ste 452
Reseda, CA 91335-6361
Mailing address
3501 Jack Northrop Ave Ste 11729
Hawthorne, CA 90250-4433
Phone (323) 522-4402
National Provider Directory
National Provider DirectoryLocations
3501 Jack Northrop Ave
Ste 11729
Hawthorne, CA 90250
19231 Victory Blvd
Ste 452
Reseda, CA 91335
Phone (323) 522-4402
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Public Health & General Preventive Medicine Physician
- Los Angeles, CA
- NPI 1306271762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1559692800000",
"number": "1356843221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3501 JACK NORTHROP AVE STE 11729",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902504433",
"telephone_number": "323-522-4402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19231 VICTORY BLVD STE 452",
"city": "RESEDA",
"state": "CA",
"postal_code": "913356361",
"telephone_number": "323-522-4402"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPLETE HEALTH MEDG",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-06",
"last_updated": "2019-06-05",
"status": "A",
"authorized_official_last_name": "VON HUGGEN",
"authorized_official_first_name": "ADRIAN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "323-522-4402",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "CA",
"license": "A0004884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reseda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.