MEDICARE: MRS. CAROLE LINE ALTINA LMT

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	225700000X	Massage Therapist	77920	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0020309390	OTHER	CA	KAISER PERMANENTE

General Provider Information

NPI Number	:	1881230605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CAROLE LINE ALTINA LMT

Provider Business Mailing Address
First Line	:	2828 W CANYON AVE
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-4648
Country	:	US
Telephone Number	:	619-301-9041
Fax Number	:

Provider Business Practice Location Address
First Line	:	2828 W CANYON AVE
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-4648
Country	:	US
Telephone Number	:	619-301-9041
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/27/2019
Last Update Date	:	11/27/2019

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1033781448 — AMRATHA PHATAK
Practice Location Address:

7063 CANTABERRA CT
SAN DIEGO, CA
92129-4648

Practice Phone: 858-225-9150
Practice Fax:

1861351611 — MARK JOHN BADRIA
Practice Location Address:

4648 MARLBOROUGH DR
SAN DIEGO, CA
92116-4711

Practice Phone: 415-370-3984
Practice Fax: 415-370-3984

1437565280 — BEVIN NICOLE DEMUTH LCSW
Practice Location Address:

2028 PARK ROYAL DR
SAN JOSE, CA
95125-4648

Practice Phone: 650-305-1044
Practice Fax:

1295100402 — NORMA LOZANO RPH
Practice Location Address:

125 LAFAYETTE AVE
SAN ANTONIO, TX
78209-4648

Practice Phone: 210-725-6394
Practice Fax:

1245762467 — ALINE LIEU
Practice Location Address:

4648 KINGSPARK DR
SAN JOSE, CA
95136-2324

Practice Phone: 408-313-5364
Practice Fax:

Directions to “ MRS. CAROLE LINE ALTINA LMT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.