Individual
ALTA POSTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 W TEMPLE ST FL 9, LOS ANGELES, CA 90012-3217
(213) 974-0534
(213) 620-1445
Mailing address
320 W TEMPLE ST FL 9, LOS ANGELES, CA 90012-3217
(213) 974-0534
(213) 620-1445
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/20/2007
Last updated
12/20/2007
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