Organization
ALTAMED HEALTH SERVICES CORP
Active
Other names
AltaMed East LA ADHC
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT U. YOUNG M.D. (AVP, PATIENT FINANCIAL SERVICES)
(323) 622-2429
Entity
Organization
Contact information
Practice address
6210 WHITTIER BLVD, LOS ANGELES, CA 90022
(323) 888-2887
(323) 888-2889
Mailing address
2040 CAMFIELD AVE, LOS ANGELES, CA 90040-1501
(323) 725-8751
(323) 889-8750
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
ADUF0427F
CA
261QF0400X
Federally Qualified Health Center (FQHC)
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ADUF0427F
—
CA
Enumeration date
09/24/2007
Last updated
08/31/2011
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