Provider Demographics
NPI:1972840635
Name:ALTAMED HEALTH SERVICES
Entity Type:Organization
Organization Name:ALTAMED HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:WOMENS HEALTH ASSISTANT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CORREA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-500-0371
Mailing Address - Street 1:1155 W CENTRAL AVE STE 10-107
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92707-3165
Mailing Address - Country:US
Mailing Address - Phone:714-500-0497
Mailing Address - Fax:
Practice Address - Street 1:1155 W CENTRAL AVE STE 104-107
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92707-3165
Practice Address - Country:US
Practice Address - Phone:714-500-0497
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-14
Last Update Date:2013-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management