Organization
ALTAMED HEALTH SERVICES CORP
Active
Other names
AltaMed Golden Age ADHC
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
3820 MARTIN LUTHER KING JR BLVD, LYNWOOD, CA 90262
(310) 632-0415
(310) 639-2734
Mailing address
2040 CAMFIELD AVE, LOS ANGELES, CA 90040-1501
(323) 725-8751
(323) 889-7850
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
060000588
CA
261QA0600X
Adult Day Care Clinic/Center
Primary
AUDF0030G
CA
261QF0400X
Federally Qualified Health Center (FQHC)
060000588
CA
261QF0400X
Federally Qualified Health Center (FQHC)
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ADUF0030G
—
CA
Enumeration date
05/10/2007
Last updated
08/07/2019
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