| Altos Health Partners | |
|
525 South Dr Ste 207 Mountain View CA 94040-4211 | |
| (650) 796-9006 | |
| Not Available |
| Full Name | Altos Health Partners |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 525 South Dr Ste 207, Mountain View, California |
| Authorized Official Name and Position | Katherine Taylor (PRINCIPAL MEDICAL DIRECTOR) |
| Authorized Official Contact | 6507969006 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Altos Health Partners Po Box 3190 Los Altos CA 94024-0190 Ph: (650) 796-9006 | Altos Health Partners 525 South Dr Ste 207 Mountain View CA 94040-4211 Ph: (650) 796-9006 |
| NPI Number | 1144601303 |
|---|---|
| Provider Enumeration Date | 06/13/2015 |
| Last Update Date | 06/13/2015 |
| Medicare PECOS PAC ID | 2567779606 |
|---|---|
| Medicare Enrollment ID | O20150922001181 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144601303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Katherine L Taylor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538225446 PECOS PAC ID: 2264459015 Enrollment ID: I20051031000804 |
| Provider Name | Thomas E Havel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871625194 PECOS PAC ID: 2668639154 Enrollment ID: I20120213000029 |
| Provider Name | Samina Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184889859 PECOS PAC ID: 5698077014 Enrollment ID: I20151231000956 |
| Provider Name | Lucy Lan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760987408 PECOS PAC ID: 1153671508 Enrollment ID: I20230612001772 |
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