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Organization

ALTAMED HEALTH SERVICES CORP.

Active
Other names
AltaMed General Pediatrics @ Children's Hospital
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
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 669-2113
(323) 906-8003
Mailing address
2040 CAMFIELD AVE, LOS ANGELES, CA 90040-1501
(323) 889-7349
(323) 889-7843

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
FHC71094F
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
FHC71094F
CA
Enumeration date
05/10/2007
Last updated
08/20/2019
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