Organization
BIOMETRICS PARTNERS CORPORATION
Active
Parent organization
ADVANCED COMMUNITY MEDICAL CARE CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVANCED COMMUNITY MEDICAL CARE CORPORATION
Authorized official
RANDALL WHITAKER MAXEY MD (PRESIDENT)
(310) 680-1810
Entity
Organization
Contact information
Practice address
644 E REGENT ST STE 200, INGLEWOOD, CA 90301-1444
(310) 680-1810
(310) 680-1811
Mailing address
300 E HILLCREST BLVD # 153, INGLEWOOD, CA 90301-2428
(310) 680-1810
(310) 680-1811
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA21800
PTAN
CA
Enumeration date
07/09/2021
Last updated
07/09/2021
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