OrganizationActive
Advanced Community Medical Care Corp
NPI 1962851808 · Primary Care Clinic/Center · Inglewood, CA
Provider details
- NPI number
- 1962851808
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Randall Maxey, President(310) 680-1810
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
323 N Prairie Ave
Suite 417
Inglewood, CA 90301-4502
Phone: (310) 680-1810
Approximate (ZIP-level) locationGet directions
Mailing address
447 N Prairie Ave
Inglewood, CA 90301-4502
Registry dates
- Enumerated
- 2016-06-10
- Last updated
- 2019-10-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.