Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alta California Medical Group, Inc

Organization Family Medicine Physician · NPI 1740290634

Alta California Medical Group, Inc is a Family Medicine Physician 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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