Organization
COMPLETE CARE FAMILY MEDICINE AND SKIN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCELA ISABEL DOMINGUEZ (OWNER/PRESIDENT)
(949) 273-6663
Entity
Organization
Contact information
Practice address
27405 PUERTA REAL, SUITE 200, MISSION VIEJO, CA 92691-6314
(949) 273-6663
(949) 273-6661
Mailing address
27405 PUERTA REAL, SUITE 200, MISSION VIEJO, CA 92691-6314
(949) 273-6663
(949) 273-6661
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
A64090
CA
Other
Enumeration date
01/13/2011
Last updated
05/13/2011
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