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Organization

ALTAMED HEALTH SERVICES CORP.

Active
Other names
AltaMed Golden Age ADHC
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PETER M FELDMAN MFT (DIRECTOR, CLIENT SERVICES)
(323) 889-7349
Entity
Organization

Contact information

Practice address
3820 MARTIN LUTHER KING JR BLVD, LYNWOOD, CA 90262-3625
(310) 632-0415
(310) 605-5438
Mailing address
500 CITADEL DR STE 490, LOS ANGELES, CA 90040-1589
(323) 889-7349
(323) 889-7843

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
ADUF0030G
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ADUF0030G
CA
Enumeration date
06/14/2007
Last updated
08/22/2020
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