Altamirano, Jaime A

Altamirano, Jaime A is an sole proprietor health care provider with primary practice located at 14900 Magnolia Blvd Unit 55713 , Sherman Oaks CA 91413-7094. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Altamirano, Jaime A can be contacted via phone (818) 618-3774.

Contact Information

Primary practice address
14900 Magnolia Blvd Unit 55713 Sherman Oaks CA 91413-7094
Fax: (866) 680-4334
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A068701 California
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X A068701 California
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X A068701 California

Profile Details

NPI number 1689680092
LBN Legal business name Altamirano, Jaime A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2006
Last updated May 25th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689680092 NPPES
California MEDICAID 00A687010

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