Individual
MARYIN JUDITH ALTAMIRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
81 HIGHLAND SPRINGS AVE STE 301, BEAUMONT, CA 92223-3170
(951) 846-2611
Mailing address
FILE #54701, LOS ANGELES, CA 90074-2804
(909) 651-4300
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
A166892
CA
Other
Enumeration date
04/13/2018
Last updated
11/02/2021
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