# ALTAMED HEALTH SERVICES CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124234505
- **Authorized official:** MR. CRAIG MICHAEL SANTY (AVP LTC, ADHC ADMINISTRATOR)
- **Authorized official phone:** (213) 217-5300

## Contact information

- **Practice address:** 6210 WHITTIER BLVD, LOS ANGELES, CA 90022-4506
- **Practice address phone:** (323) 888-2887
- **Practice address fax:** (323) 888-2889
- **Mailing address:** 6210 WHITTIER BLVD, LOS ANGELES, CA 90022-4506
- **Mailing address phone:** (323) 888-2887
- **Mailing address fax:** (323) 888-2889

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | CA | Yes |

## Other

- **Enumeration date:** 05/15/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | PENDING | — | CA |
