| Jaime A Altamirano M.d., Inc. | |
|
15243 Vanowen St Ste 504a Van Nuys CA 91405-3605 | |
| (818) 904-0798 | |
| (818) 904-0317 |
| Full Name | Jaime A Altamirano M.d., Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 15243 Vanowen St, Van Nuys, California |
| Authorized Official Name and Position | Jaime A Altamirano (OWNER) |
| Authorized Official Contact | 8186183774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jaime A Altamirano M.d., Inc. 15243 Vanowen St Ste 504a Van Nuys CA 91405-3605 Ph: (818) 904-0798 | Jaime A Altamirano M.d., Inc. 15243 Vanowen St Ste 504a Van Nuys CA 91405-3605 Ph: (818) 904-0798 |
| NPI Number | 1972696052 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 01/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972696052 | NPI | - | NPPES |
| 00A687010 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A068701 (California) | Primary |
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