Organization Name: | ALTAMED HEALTH SERVICES CORPORATION |
NPI Number: | 1003157363 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARIA GUISELA SANCHO (PHYSICAL THERAPIST) |
Mailing Address: | 3820 Martin Luther King Jr Blvd Lynwood |
State: | CA US |
Postal Code: | 902623625 |
Phone Number: | 3106310415 |
Fax Number: | 3106392734 |
NPI Enumeration Date: | 03/12/2013 |
NPI Last Update Date: | 03/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | PT 19649 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |