Provider Demographics
NPI:1386833960
Name:ALMA FAMILY SERVICES
Entity Type:Organization
Organization Name:ALMA FAMILY SERVICES
Other - Org Name:ALMA FAMILY SERVICES
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
Mailing Address - Street 2:SUITE 350
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-7600
Mailing Address - Country:US
Mailing Address - Phone:323-526-4016
Mailing Address - Fax:323-526-4096
Practice Address - Street 1:6505 ROSEMEAD BLVD.
Practice Address - Street 2:STE 101, 102, 105, 105A
Practice Address - City:PICO RIVERA
Practice Address - State:CA
Practice Address - Zip Code:90660-3542
Practice Address - Country:US
Practice Address - Phone:562-692-1517
Practice Address - Fax:562-699-1378
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-18
Last Update Date:2020-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA7709OtherMEDI-CAL PROVIDER NUMBER