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NPI 1184519480

NPI 1184519480 : ALTOS HEALTH INNOVATIONS, A CALIFORNIA PROFESSIONAL MEDICAL CORPORATION, INC. : LOS ALTOS HILLS, CA

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General NPI Number Information
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    NPI Number           |    1184519480
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALTOS HEALTH INNOVATIONS, A CALIFORNIA PROFESSIONAL MEDICAL CORPORATION, INC. 
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Dates
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    Enumeration Date     |    06/09/2025
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    Last Update Date     |    06/09/2025
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Provider Practice Location Address
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    Address Line         |    10511 MAGDALENA RD 
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    City                 |    LOS ALTOS HILLS
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    State                |    CA
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    Zip                  |    94024-6457
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    Country              |    US
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    Telephone            |    650-387-0728
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    10511 MAGDALENA RD 
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    City                 |    LOS ALTOS HILLS
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    State                |    CA
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    Zip                  |    94024-6457
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    SECRETARY
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    Name                 |     RAKESH  PATEL 
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    Credential           |    MD
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    Telephone            |    650-387-0728
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    
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    License Number State |    
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