# COMPLETE CARE MEDICAL ASSOCIATES, A MEDICAL CORPORATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1639885965
- **Authorized official:** KENNETH LI (MSO)
- **Authorized official phone:** (323) 800-8283

## Contact information

- **Practice address:** 13200 CROSSROADS PKWY N STE 315, CITY OF INDUSTRY, CA 91746-3420
- **Practice address phone:** (323) 800-8283
- **Mailing address:** 13200 CROSSROADS PKWY N STE 315, CITY OF INDUSTRY, CA 91746-3420
- **Mailing address phone:** (323) 800-8283

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 01/30/2023
- **Last updated:** 01/30/2023