# ALTAMED HEALTH SERVICES CORP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ALTAMED HEALTH SERVICES CORP.
- **Other names:** AltaMed Medical Group AIDS Waiver
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1851575765
- **Legal business name:** ALTAMED HEALTH SERVICES CORP.
- **Authorized official:** ROBERT U. YOUNG MD (VP, PATIENT FINANCIAL SERVICES)
- **Authorized official phone:** (323) 622-2429

## Contact information

- **Practice address:** 5427 WHITTIER BLVD, LOS ANGELES, CA 90022-4101
- **Practice address phone:** (323) 869-5448
- **Practice address fax:** (323) 869-5433
- **Mailing address:** 2040 CAMFIELD AVE, LOS ANGELES, CA 90040-1501
- **Mailing address phone:** (323) 725-8751
- **Mailing address fax:** (323) 889-7843

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | AYD000440 | CA | Yes |

## Other

- **Enumeration date:** 12/27/2007
- **Last updated:** 08/22/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | AYD000440 | AIDS WAIVER PROGRAM | CA |