Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Alta California Medical Group, Inc

Organization Family Medicine Physician · NPI 1740290634

Alta California Medical Group, Inc provides Family Medicine Physician services in Simi Valley, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2755 Alamo St Ste 201
Simi Valley, CA 93065-1311
Phone: (805) 578-9620
Fax: (805) 955-0498
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 3270701 (CA)

Record details

NPI number1740290634
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alberto Odio — President · (805) 578-9620
NPI enumeratedAugust 9, 2006
Last updated in NPPESNovember 24, 2023
Certification dateNovember 24, 2023
Mailing address2925 Sycamore Dr, Suite 204-205, Simi Valley, CA 93065-1207

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