Organization
ALTAMED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASTULO DELA ROCHA (CEO)
(888) 499-9303
Entity
Organization
Contact information
Practice address
1227 W 17TH ST, SANTA ANA, CA 92706-3455
(717) 450-0034
Mailing address
1227 W 17TH ST, SANTA ANA, CA 92706-3455
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
10/26/2012
Last updated
10/26/2012
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