Provider Demographics
NPI:1083237481
Name:ALPHA HORMONES INC.
Entity type:Organization
Organization Name:ALPHA HORMONES INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ROTANA
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:TEK
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:213-334-4111
Mailing Address - Street 1:468 N CAMDEN DR STE 5500
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-4507
Mailing Address - Country:US
Mailing Address - Phone:213-334-4111
Mailing Address - Fax:213-335-5001
Practice Address - Street 1:800 FAIRMOUNT AVE STE 323
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-3155
Practice Address - Country:US
Practice Address - Phone:213-334-4111
Practice Address - Fax:213-335-5001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-20
Last Update Date:2023-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC4560880OtherCORPORATION NUMBER
CAFNP2901OtherFACTITIOUS NAME PERMIT