Provider Demographics
NPI:1255465274
Name:ALMA FAMILY SERVICES
Entity Type:Organization
Organization Name:ALMA FAMILY SERVICES
Other - Org Name:ALMA FAMILY SERVICES WALNUT OP
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT/CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA DE LOURDES
Authorized Official - Middle Name:
Authorized Official - Last Name:CARACOZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-526-4016
Mailing Address - Street 1:900 CORPORATE CENTER DR STE 350
Mailing Address - Street 2:
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-7620
Mailing Address - Country:US
Mailing Address - Phone:323-526-4016
Mailing Address - Fax:323-526-4096
Practice Address - Street 1:18780 AMAR RD
Practice Address - Street 2:SUITE 204
Practice Address - City:WALNUT
Practice Address - State:CA
Practice Address - Zip Code:91789-4560
Practice Address - Country:US
Practice Address - Phone:626-965-4463
Practice Address - Fax:626-965-9240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2020-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA7019OtherMEDI-CAL PROVIDER NUMBER