Organization
ALTAMED HEALTH SERVICES CORP
Active
Organization
ALTAMED HEALTH SERVICES CORP
Active
Other names
AltaMed/BuenaCare Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT U. YOUNG M.D. (AVP, PATIENT FINANCIAL SERVICES)
(323) 622-2429
Entity
Organization
Contact information
Practice address
1701 ZONAL AVE., LOS ANGELES, CA 90033-1065
(323) 223-6146
(323) 223-6399
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
FHC70591F
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC70591F
—
CA
Enumeration date
05/23/2007
Last updated
08/31/2011
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