Organization
ALLIANCE HEALTH CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER S. LAM MD (PRESIDENT & CEO)
(619) 286-9052
Entity
Organization
Contact information
Practice address
5952 EL CAJON BLVD, SAN DIEGO, CA 92115-3828
(619) 229-8030
(619) 229-8031
Mailing address
5952 EL CAJON BLVD, SAN DIEGO, CA 92115-3828
(619) 229-8030
(619) 229-8031
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PENDING
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2007006162
BUSINESS TAX CERTIFICATE
CA
Enumeration date
06/06/2007
Last updated
02/08/2013
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