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General NPI Number Information
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NPI Number | 1699196378
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Entity Type | Organization
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Legal Business Name | ALTAMED HEALTH SERVICES
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Dates
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Enumeration Date | 12/23/2013
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Last Update Date | 12/23/2013
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Provider Practice Location Address
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Address Line | 2040 CAMFIELD AVE.
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City | LOS ANGELES
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State | CA
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Zip | 90040
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Country | US
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Telephone | 714-352-7307
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Fax | 714-541-8032
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Provider Business Mailing Address
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Address Line | 2401 S HACIENDA BLVD APT 339
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City | HACIENDA HEIGHTS
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State | CA
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Zip | 91745-6902
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Country | US
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Telephone | 714-352-7307
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Fax | 714-541-8032
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Authorized Official
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Title or Position | HEALTH PROMOTER
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Name | MARIA DIAZ
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Credential |
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Telephone | 714-352-7307
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State | CA
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