# ALPHA CARE MEDICAL GROUP, INC

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

## Provider details

- **NPI number:** 1770655847
- **Authorized official:** DR. THOMAS LAM M.D., M.P.H. (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (626) 943-6228

## Contact information

- **Practice address:** 2589 E. WASHINGTON BLVD., PASADENA, CA 91107
- **Practice address phone:** (626) 798-8792
- **Practice address fax:** (626) 401-1671
- **Mailing address:** 1668 S. GARFIELD AVENUE, 2ND FLOOR, ALHAMBRA, CA 91801
- **Mailing address phone:** (626) 943-6228
- **Mailing address fax:** (626) 943-6343

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 11/14/2006
- **Last updated:** 08/22/2019