NPIMap

Organization Active NPI

Complete Women Care, Inc.

  • Obstetrics & Gynecology Physician
  • Long Beach, CA
National Provider Identifier
1659792760
Registry record updated Dec 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
COMPLETE WOMEN CARE, INC.
Practice address
3711 Long Beach Blvd
Suite 101 B
Long Beach, CA 90807-3315
Phone
(563) 424-8422
Fax
(562) 424-8770
NPI assigned
Dec 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2013

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

Authorized official

Name
Miriam Mackovic, M.D.
Title
President
Phone
(562) 424-8422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

3711 Long Beach Blvd
Suite 101 B
Long Beach, CA 90807-3315

Mailing address

3711 Long Beach Blvd
Suite 101 B
Long Beach, CA 90807-3315
Phone (563) 424-8422

National Provider Directory

National Provider Directory
Tax ID family
Bellatriss Nursing Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1387238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387238400000",
    "number": "1659792760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 LONG BEACH BLVD",
            "address_2": "SUITE 101 B",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073315",
            "telephone_number": "563-424-8422",
            "fax_number": "562-424-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 LONG BEACH BLVD",
            "address_2": "SUITE 101 B",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073315",
            "telephone_number": "563-424-8422",
            "fax_number": "562-424-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE WOMEN CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-17",
        "last_updated": "2013-12-17",
        "status": "A",
        "authorized_official_last_name": "MACKOVIC",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-424-8422",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; 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.