Organization
ALTAMED HEALTH SERVICES CORP.
Active
Other names
AltaMed PACE-East Los Angeles
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT U. YOUNG MD (VP, PATIENT FINANCIAL SERVICES)
(323) 622-2429
Entity
Organization
Contact information
Practice address
5425 POMONA BLVD, LOS ANGELES, CA 90022-1716
(323) 728-0411
(323) 728-1535
Mailing address
2040 CAMFIELD AVE, LOS ANGELES, CA 90040-1501
(323) 889-7349
(323) 889-7843
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
CMM70726F
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMM70726F
—
CA
Enumeration date
05/25/2007
Last updated
08/22/2019
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