Provider Demographics
NPI:1134145527
Name:DENNIS B. ALTERS, MD, A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:DENNIS B. ALTERS, MD, A PROFESSIONAL CORPORATION
Other - Org Name:DENNIS B. ALTERS, MD, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:B
Authorized Official - Last Name:ALTERS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-967-5898
Mailing Address - Street 1:2125 S EL CAMINO REAL
Mailing Address - Street 2:SUITE #104
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92054-6260
Mailing Address - Country:US
Mailing Address - Phone:760-967-5898
Mailing Address - Fax:760-967-6042
Practice Address - Street 1:2125 S EL CAMINO REAL
Practice Address - Street 2:SUITE #104
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054-6260
Practice Address - Country:US
Practice Address - Phone:760-967-5898
Practice Address - Fax:760-967-6042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-15
Last Update Date:2011-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG362062084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Multi-Specialty