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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