MEDICARE: ALMA FAMILY SERVICES

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	251S00000X	Community/Behavioral Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7019	OTHER	CA	MEDI-CAL PROVIDER NUMBER

General Provider Information

NPI Number	:	1255465274
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALMA FAMILY SERVICES

Provider Business Mailing Address
First Line	:	900 CORPORATE CENTER DR STE 350
Second Line	:
City	:	MONTEREY PARK
State	:	CA
Zip	:	91754-7620
Country	:	US
Telephone Number	:	323-526-4016
Fax Number	:	323-526-4096

Provider Business Practice Location Address
First Line	:	18780 AMAR RD
Second Line	:	SUITE 204
City	:	WALNUT
State	:	CA
Zip	:	91789-4560
Country	:	US
Telephone Number	:	626-965-4463
Fax Number	:	626-965-9240

Authorized Official
Title or Position	:	PRESIDENT/CHIEF EXECUTIVE OFFICER
Name	:	MARIA DE LOURDES CARACOZA
Credential	:
Telephone Number	:	323-526-4016

Provider Enumeration Date	:	03/14/2007
Last Update Date	:	02/24/2020

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Directions to “ALMA FAMILY SERVICES ” Practice Location

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