Provider Demographics
NPI:1144664723
Name:ALTOMED
Entity type:Organization
Organization Name:ALTOMED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HOMA
Authorized Official - Middle Name:
Authorized Official - Last Name:T. ADNANI
Authorized Official - Suffix:
Authorized Official - Credentials:RPSGT
Authorized Official - Phone:650-967-8787
Mailing Address - Street 1:305 SOUTH DR STE 4
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-4207
Mailing Address - Country:US
Mailing Address - Phone:650-967-8787
Mailing Address - Fax:650-967-8788
Practice Address - Street 1:305 SOUTH DR STE 4
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-4207
Practice Address - Country:US
Practice Address - Phone:650-967-8787
Practice Address - Fax:650-967-8788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-25
Last Update Date:2013-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA59894332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies