| Complete Care Medical Group Professional Corporation | |
|
4902 Irvine Center Dr Ste 103 Irvine CA 92604-3334 | |
| (949) 861-4177 | |
| (949) 861-4178 |
| Full Name | Complete Care Medical Group Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 4902 Irvine Center Dr Ste 103, Irvine, California |
| Authorized Official Name and Position | Kristi Jolliffe (PRACTICE MANAGER) |
| Authorized Official Contact | 9498614177 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Complete Care Medical Group Professional Corporation 4902 Irvine Center Dr Ste 103 Irvine CA 92604-3334 Ph: (949) 861-4177 | Complete Care Medical Group Professional Corporation 4902 Irvine Center Dr Ste 103 Irvine CA 92604-3334 Ph: (949) 861-4177 |
| NPI Number | 1912586306 |
|---|---|
| Provider Enumeration Date | 04/05/2021 |
| Last Update Date | 02/04/2022 |
| Medicare PECOS PAC ID | 8628461951 |
|---|---|
| Medicare Enrollment ID | O20220210000112 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912586306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Shawn H Hamilton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134270069 PECOS PAC ID: 7416111034 Enrollment ID: I20120612000246 |
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