# ALTAMED

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

## Provider details

- **NPI number:** 1386020303
- **Authorized official:** CASTULO DE LA ROCHA JD (CEO)
- **Authorized official phone:** (877) 462-2582

## Contact information

- **Practice address:** 535 S 2ND AVE, COVINA, CA 91723-3013
- **Practice address phone:** (626) 214-1484
- **Mailing address:** 2040 CAMFIELD AVE, COMMERCE, CA 90040-1502
- **Mailing address phone:** (323) 725-8751

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 847492 | CA | Yes |

## Other

- **Enumeration date:** 07/31/2015
- **Last updated:** 07/31/2015