Complete Infusion Care,Cic,Inc

LBN: Complete Infusion Care,Cic,Inc
Complete Infusion Care,Cic,Inc is an health care organization with primary practice located at 2310 S Sepulveda Blvd , Los Angeles CA 90064-1911. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Compounding Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Home Infusion Therapy Pharmacy is the primary health care specialty. Complete Infusion Care,Cic,Inc can be contacted via phone (310) 836-6666, or through Houske, Michael via phone (310) 836-6666.

Contact Information

Primary practice address
2310 S Sepulveda Blvd Los Angeles CA 90064-1911
Fax: (310) 836-6675
Website:
Authorized official contact:
Name: Houske, Michael

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X PHY46839 California
Suppliers / Long Term Care Pharmacy 3336L0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1295823318
LBN Legal business name Complete Infusion Care,Cic,Inc
DBA Doing business as
Authorized official Houske, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2006
Last updated Jan 5th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295823318 NPPES
California MEDICAID PHA468390

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