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Organization

ADVANCED COMMUNITY MEDICAL CARE CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RANDALL W MAXEY MD, PH.D. (PRESIDENT)
(310) 680-1810
Entity
Organization

Contact information

Practice address
301 N PRAIRIE AVE STE 505, INGLEWOOD, CA 90301-4512
(310) 680-1810
(877) 460-4416
Mailing address
301 N PRAIRIE AVE STE 505, INGLEWOOD, CA 90301-4512
(310) 680-1810
(877) 460-4416

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
CA
207RN0300X
Nephrology Physician
Primary
CA

Other

Enumeration date
12/06/2006
Last updated
04/15/2026
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