# ALTAMED HEALTH SERVICES CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AltaMed Medical Group-Santa Ana,17th Street
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053580175
- **Authorized official:** ROBERT U. YOUNG M.D. (VP, PATIENT FINANCIAL SERVICES)
- **Authorized official phone:** (323) 622-2429

## Contact information

- **Practice address:** 1227 W 17TH ST, SANTA ANA, CA 92706-3455
- **Practice address phone:** (714) 500-0340
- **Practice address fax:** (714) 824-8886
- **Mailing address:** 2040 CAMFIELD AVE, LOS ANGELES, CA 90040-1501
- **Mailing address phone:** (323) 622-2429
- **Mailing address fax:** (323) 889-7843

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/22/2008
- **Last updated:** 01/04/2019