Organization
ALTAMED HEALTH SERVICES
Active
Other names
AltaMed Rugby 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
6330 RUGBY AVE, SUITE 200, HUNTINGTON PARK, CA 90255-4066
(323) 277-7678
(323) 277-7686
Mailing address
2040 CAMFIELD AVE, LOS ANGELES, CA 90040-1501
(323) 725-8751
(323) 889-7843
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
060000620
CA
261QA0600X
Adult Day Care Clinic/Center
Primary
AUDF0117F
CA
261QF0400X
Federally Qualified Health Center (FQHC)
060000620
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ADUF0117F
—
CA
Enumeration date
05/10/2007
Last updated
08/31/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up