Organization
ALTAMEDIX CORPORATION
Active
Other names
ALTAMEDIX ADHC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIRON BALYASNY (ADMINISTRATOR)
(916) 648-3999
Entity
Organization
Contact information
Practice address
4234 N FREEWAY BLVD, SUITE 500, SACRAMENTO, CA 95834-1237
(916) 648-3999
(916) 648-1919
Mailing address
4234 N FREEWAY BLVD, SUITE 500, SACRAMENTO, CA 95834-1237
(916) 648-3999
(916) 648-1919
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ADU70231F
—
CA
Enumeration date
05/14/2007
Last updated
08/22/2020
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