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Organization

ALTAMED HEALTH SERVICES CORP.

Active
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Organization

ALTAMED HEALTH SERVICES CORP.

Active
Other names
AltaMed Teenage Center at CHLA
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
5000 W SUNSET BLVD, LOS ANGELES, CA 90027-5861
(323) 669-2153
(323) 953-8116
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
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
FHC71093F
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
FHC71093F
CA
Enumeration date
05/15/2007
Last updated
08/22/2020
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