Alta California Medical Group, Inc.

LBN: Alta California Medical Group, Inc.
Alta California Medical Group, Inc. is an health care organization with primary practice located at 2755 Alamo St Ste 201 , Simi Valley CA 93065-1311. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Alta California Medical Group, Inc. can be contacted via phone (805) 578-9620, or through Odio, Alberto Jose via phone (805) 578-9620.

Contact Information

Primary practice address
2755 Alamo St Ste 201 Simi Valley CA 93065-1311
Phone: (805) 578-9620
Fax: (805) 955-0498
Website:
Map and Directions
Authorized official contact:
Name: Odio, Alberto Jose Doctor of Medicine (MD)
Phone: (805) 578-9620

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3270701 California

Profile Details

NPI number 1740290634
LBN Legal business name Alta California Medical Group, Inc.
DBA Doing business as
Authorized official Odio, Alberto Jose Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2006
Last updated Nov 24th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740290634 NPPES
Other W14981 MEDICARE PTAN

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