Healthcare Provider Details
I. General information
NPI: 1083237481
Provider Name (Legal Business Name): ALPHA HORMONES INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/20/2020
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
800 FAIRMOUNT AVE STE 323
PASADENA CA
91105-3155
US
IV. Provider business mailing address
468 N CAMDEN DR STE 5500
BEVERLY HILLS CA
90210-4507
US
V. Phone/Fax
- Phone: 213-334-4111
- Fax: 213-335-5001
- Phone: 213-334-4111
- Fax: 213-335-5001
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RE0101X |
| Taxonomy | Endocrinology, Diabetes & Metabolism Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM1300X |
| Taxonomy | Multi-Specialty Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ROTANA
STEVEN
TEK
Title or Position: CEO
Credential: DO
Phone: 213-334-4111