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Site Name NPI# Site Address City Zip Telephone Type Category SPA Region Date Activated ALTAMED MEDICAL GROUP 1396959060 5427 WHITTIER BLVD LOS ANGELES 90022-4101 (888) 499-9303 22 4 7 2 8/1/1991Substitute Form 8655 If you want to prepare and use a substitute Form 8655, see Pub. 0% Hamilton.