Provider Demographics
NPI:1285494286
Name:ALTEK HEALTHCARE MANAGEMENT INC
Entity type:Organization
Organization Name:ALTEK HEALTHCARE MANAGEMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALVINA
Authorized Official - Middle Name:
Authorized Official - Last Name:TENEKEDJIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-402-4361
Mailing Address - Street 1:7233 1/2 FOOTHILL BLVD
Mailing Address - Street 2:
Mailing Address - City:TUJUNGA
Mailing Address - State:CA
Mailing Address - Zip Code:91042-2718
Mailing Address - Country:US
Mailing Address - Phone:818-402-4361
Mailing Address - Fax:
Practice Address - Street 1:7233 1/2 FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:TUJUNGA
Practice Address - State:CA
Practice Address - Zip Code:91042-2718
Practice Address - Country:US
Practice Address - Phone:818-402-4361
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-19
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty