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NPI Code Detail

MEDICARE: ALTA VIEW HEALTH CARE LLC

MEDICARE: ALTA VIEW HEALTH CARE LLC
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
13336C0003XCommunity/Retail Pharmacy

General Provider Information

NPI Number : 1518534189
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALTA VIEW HEALTH CARE LLC
Provider Business Mailing Address
First Line : 2939 ALTA VIEW DR STE L
Second Line :
City : SAN DIEGO
State : CA
Zip : 92139-3394
Country : US
Telephone Number : 619-470-4550
Fax Number :
Provider Business Practice Location Address
First Line : 2939 ALTA VIEW DR STE L
Second Line :
City : SAN DIEGO
State : CA
Zip : 92139-3394
Country : US
Telephone Number : 619-470-4550
Fax Number :
Authorized Official
Title or Position : MANAGING MEMBER
Name : AMJAD ALQAZQI
Credential :
Telephone Number : 858-250-9623
Provider Enumeration Date : 06/10/2021
Last Update Date : 06/10/2021

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Directions to “ALTA VIEW HEALTH CARE LLC ” Practice Location

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