# ALTAMED HEALTH SERVICES CORPORTATION

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

## Provider details

- **NPI number:** 1366807414
- **Authorized official:** DR. CRISTIAN RICO M.D (REGIONAL MEDICAL DIRECTOR)
- **Authorized official phone:** (323) 558-7795

## Contact information

- **Practice address:** 1300 S SUNSET AVE, WEST COVINA, CA 91790-3342
- **Practice address phone:** (626) 338-9915
- **Mailing address:** 1818 MICHIGAN AVE, APT 306, LOS ANGELES, CA 90033-2452
- **Mailing address phone:** (323) 266-8224

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 95002310 | CA | Yes |

## Other

- **Enumeration date:** 12/16/2015
- **Last updated:** 12/16/2015
