NPI 1366807414

Altamed Health Services Corportation

Organisation Health Maintenance Organization West Covina, CA

Practice location

Address: 1300 S Sunset Ave, West Covina, CA 91790-3342
Phone: (626) 338-9915
Mailing address: 1818 Michigan Ave APT 306, Los Angeles, CA 90033-2452

Authorised official

Name: Cristian Rico
Title: Regional Medical Director
Phone: (323) 558-7795

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 95002310 (CA)

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Registry record

NPI: 1366807414
Entity type: Organization
NPI issued: 16 Dec 2015
Record last updated: 16 Dec 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.