# ADVANCED COMMUNITY MEDICAL CARE CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215579222
- **Authorized official:** DR. RANDALL WHITAKER MAXEY MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (310) 680-1810

## Contact information

- **Practice address:** 701 E 28TH ST STE 100, LONG BEACH, CA 90806-2769
- **Practice address phone:** (562) 269-0300
- **Mailing address:** 447 N PRAIRIE AVE, INGLEWOOD, CA 90301-1413
- **Mailing address phone:** (310) 680-1810
- **Mailing address fax:** (310) 680-1811

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 10/10/2019
- **Last updated:** 10/10/2019