MEDICARE: ALTAMED HEALTH SERVICES CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA0005X	Ambulatory Family Planning Facility

General Provider Information

NPI Number	:	1043489958
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALTAMED HEALTH SERVICES CORP

Provider Business Mailing Address
First Line	:	500 CITADEL DR
Second Line	:	SUITE 490
City	:	LOS ANGELES
State	:	CA
Zip	:	90040-1575
Country	:	US
Telephone Number	:	323-725-8751
Fax Number	:	323-889-7843

Provider Business Practice Location Address
First Line	:	2223 W 1ST ST
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92703-3505
Country	:	US
Telephone Number	:	714-500-0320
Fax Number	:	323-889-7843

Authorized Official
Title or Position	:	VP FINANCE, CFO
Name	:	MR. JOSE ESPARZA
Credential	:
Telephone Number	:	323-725-8751

Provider Enumeration Date	:	02/25/2008
Last Update Date	:	05/09/2008

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Directions to “ALTAMED HEALTH SERVICES CORP ” Practice Location

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