Provider Demographics
NPI:1700249893
Name:ALMA FAMILY SERVICES
Entity Type:Organization
Organization Name:ALMA FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
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 1:2958 E FLORENCE AVE FL 2
Practice Address - Street 2:
Practice Address - City:HUNTINGTON PARK
Practice Address - State:CA
Practice Address - Zip Code:90255-5826
Practice Address - Country:US
Practice Address - Phone:323-923-9559
Practice Address - Fax:323-923-9566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-05
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACX104BOtherMEDICARE PROVIDER TRANSATION ACCESS NUMBER (PTAN)