# COMPLETE CARE FAMILY MEDICINE AND SKIN CENTER

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

## Provider details

- **NPI number:** 1821393414
- **Authorized official:** DR. MARCELA ISABEL DOMINGUEZ (OWNER/PRESIDENT)
- **Authorized official phone:** (949) 273-6663

## Contact information

- **Practice address:** 27405 PUERTA REAL, SUITE 200, MISSION VIEJO, CA 92691-6314
- **Practice address phone:** (949) 273-6663
- **Practice address fax:** (949) 273-6661
- **Mailing address:** 27405 PUERTA REAL, SUITE 200, MISSION VIEJO, CA 92691-6314
- **Mailing address phone:** (949) 273-6663
- **Mailing address fax:** (949) 273-6661

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A64090 | CA | Yes |

## Other

- **Enumeration date:** 01/13/2011
- **Last updated:** 05/13/2011