# ALTA FAMILY HEALTH CLINIC, INC.

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

## Provider details

- **NPI number:** 1528108610
- **Authorized official:** KULDIP THUSU PHD (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (559) 595-1000

## Contact information

- **Practice address:** 888 N ALTA AVE, DINUBA, CA 93618-3089
- **Practice address phone:** (559) 595-1000
- **Practice address fax:** (559) 595-1862
- **Mailing address:** 888 N ALTA AVE, DINUBA, CA 93618-3089
- **Mailing address phone:** (559) 595-1000
- **Mailing address fax:** (559) 595-1862

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | 120000633 | CA | Yes |

## Other

- **Enumeration date:** 02/07/2007
- **Last updated:** 10/22/2010