Organization
ALTAMED HEALTH SERVICES CORP.
Active
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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