Provider Demographics
NPI: | 1508009846 |
---|---|
Name: | ALTA CT SERVICES A CALIFORNIA LIMITED PARTNERSHIP |
Entity Type: | Organization |
Organization Name: | ALTA CT SERVICES A CALIFORNIA LIMITED PARTNERSHIP |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | IRA |
Authorized Official - Middle Name: | JOHN |
Authorized Official - Last Name: | FINCH |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MD |
Authorized Official - Phone: | 925-296-7150 |
Mailing Address - Street 1: | 175 LENNON LN STE 100 |
Mailing Address - Street 2: | |
Mailing Address - City: | WALNUT CREEK |
Mailing Address - State: | CA |
Mailing Address - Zip Code: | 94598-2466 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 925-296-7150 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 2001 DWIGHT WAY |
Practice Address - Street 2: | |
Practice Address - City: | BERKELEY |
Practice Address - State: | CA |
Practice Address - Zip Code: | 94704-2608 |
Practice Address - Country: | US |
Practice Address - Phone: | 925-296-7150 |
Practice Address - Fax: | 925-296-7171 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2009-04-16 |
Last Update Date: | 2011-01-27 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology | Group - Single Specialty |