| Altamed Medical Group Eapc Prop 99 | |
|
500 Citadel Dr Ste 490 Los Angeles CA 90040 | |
| (323) 725-8751 | |
| (323) 889-7399 |
| Full Name | Altamed Medical Group Eapc Prop 99 |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 500 Citadel Dr, Los Angeles, California |
| Authorized Official Name and Position | Jose Esparza (VP OF FINANCE AND CFO) |
| Authorized Official Contact | 3237258751 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Altamed Medical Group Eapc Prop 99 500 Citadel Dr Ste 490 Los Angeles CA 90040 Ph: (323) 725-8751 | Altamed Medical Group Eapc Prop 99 500 Citadel Dr Ste 490 Los Angeles CA 90040 Ph: (323) 725-8751 |
| NPI Number | 1003095464 |
|---|---|
| Provider Enumeration Date | 11/01/2007 |
| Last Update Date | 02/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003095464 | NPI | - | NPPES |
| EAP11568F | Other | CA | EAPC PROGRAM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | EAP11568F (California) | Primary |
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