Advanced Community Medical Care Corp
Organization Active NPI Primary Care Clinic/Center · Inglewood, CA
NPI 1962851808 · NPPES record last updated Oct 2, 2019
Key facts
- NPI
- 1962851808
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- Legal business name
- ADVANCED COMMUNITY MEDICAL CARE CORP
- Practice address
- 323 N Prairie Ave
Suite 417
Inglewood, CA 90301-4502 - Phone
- (310) 680-1810
- NPI assigned
- Jun 10, 2016
- Organization subpart
- No
Authorized official
- Name
- Dr. Randall Whitaker Maxey, MD
- Title
- President
- Phone
- (310) 680-1810
Practitioners 3
-
Akbar Attary, M.D.
-
Glenn Edward Miller, M.D.
National Provider Directory
Locations
418 E Arbor Vitae St
Inglewood, CA 90301
Phone (310) 673-8600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Yes |
Addresses
Primary practice location
323 N Prairie Ave
Suite 417
Inglewood, CA 90301-4502
Mailing address
447 N Prairie Ave
Inglewood, CA 90301-4502
Phone (310) 680-1810
Other providers in Inglewood, CA
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- Samuel Ayodele Adeleye
- Abby Adesanya
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- Advanced Medical Supply
All providers in Inglewood, CA · Primary Care Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.