Organization
ALTAMED HEALTH SERVICES CORP
Active
Other names
AltaMed Medical and Dental Group-East LA/Whittier West(Boyle Heights)
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT U. YOUNG M.D. (VP, PATIENT FINANCIAL SERVICES)
(323) 622-2429
Entity
Organization
Contact information
Practice address
3945 E. WHITTIER BLVD, LOS ANGELES, CA 90023-2440
(323) 265-1998
(323) 265-1948
Mailing address
2040 CAMFIELD AVE, LOS ANGELES, CA 90040-1501
(323) 725-8751
(323) 889-7843
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
FHC71028F
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC71028F
—
CA
Enumeration date
05/25/2007
Last updated
08/16/2019
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