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General NPI Number Information
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NPI Number | 1902755317
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Entity Type | Organization
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Legal Business Name | ALTAMED HEALTH NETWORK, SENIOR SERVICES PLAN, INC.
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Dates
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Enumeration Date | 01/27/2026
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 1401 N MONTEBELLO BLVD
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City | MONTEBELLO
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State | CA
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Zip | 90640-2584
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Country | US
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Telephone | 323-889-7846
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Fax |
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Provider Business Mailing Address
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Address Line | 1401 N MONTEBELLO BLVD
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City | MONTEBELLO
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State | CA
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Zip | 90640-2584
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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 | CEO
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Name | MARCO REMI DE LA ROCHA
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Credential |
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Telephone | 323-889-7846
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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 |
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