Complete Care Medical Associates, a Medical Corporation

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

COMPLETE CARE MEDICAL ASSOCIATES, A MEDICAL CORPORATION

Practice address

13200 Crossroads Pkwy N Ste 315
City of Industry, CA 91746-3420

Phone

(323) 800-8283

NPI assigned

Jan 30, 2023

Last updated

Jan 30, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kenneth Li

Title

Mso

Phone

(323) 800-8283

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1639885965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13200 CROSSROADS PKWY N STE 315",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917463420",
            "telephone_number": "323-800-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13200 CROSSROADS PKWY N STE 315",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917463420",
            "telephone_number": "323-800-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CARE MEDICAL ASSOCIATES, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "MSO",
        "authorized_official_telephone_number": "323-800-8283"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in City of Industry, CA
• Providers in City of Industry, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.