NPI 1215579222
Advanced Community Medical Care Corp
Practice location
- Address
- 701 E 28th St STE 100, Long Beach, CA 90806-2769
- Phone
- (562) 269-0300
- Mailing address
- 447 N Prairie Ave, Inglewood, CA 90301-1413
Authorised official
- Name
- Randall Whitaker Maxey
- Title
- Medical Director
- Phone
- (310) 680-1810
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1215579222
- Entity type
- Organization
- NPI issued
- 10 Oct 2019
- Record last updated
- 10 Oct 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.