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Organization
JAIME A ALTAMIRANO M.D., INC.
Active
Organization
JAIME A ALTAMIRANO M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIME A ALTAMIRANO MD (OWNER)
(818) 618-3774
Entity
Organization
Contact information
Practice address
15243 VANOWEN ST, STE 504A, VAN NUYS, CA 91405-3605
(818) 904-0798
(818) 904-0317
Mailing address
15243 VANOWEN ST STE 504A, VAN NUYS, CA 91405-3605
(818) 904-0798
(818) 904-0317
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A068701
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A687010
—
CA
Enumeration date
10/02/2006
Last updated
01/23/2009
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