Organization
LOS ALAMITOS INTERNAL MEDICAL GROUP INC
Active
Other names
LOS ALAMITOS CARDIOVASCULAR
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN T. FORMAN M.D. (PRESIDENT)
(562) 430-7533
Entity
Organization
Contact information
Practice address
5300 KATELLA AVE, LOS ALAMITOS, CA 90720-2808
(562) 430-7533
(562) 430-8055
Mailing address
5300 KATELLA AVE, LOS ALAMITOS, CA 90720-2808
(562) 430-7533
(562) 430-8055
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A73497
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A452500
—
CA
05
—
00G338210
—
CA
05
—
00G472290
—
CA
05
—
00G658950
—
CA
05
—
00G853440
—
CA
Enumeration date
05/27/2006
Last updated
09/23/2022
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