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
261QF0400X
Federally Qualified Health Center (FQHC)
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ADUF0117F
—
CA
Enumeration date
05/10/2007
Last updated
08/31/2011
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