Organization
ALTAMED HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAIME E FERNANDEZ ADMINISTRATOR (CLINIC/PROGRAM ADMINISTRATOR)
(323) 223-6146
Entity
Organization
Contact information
Practice address
1701 ZONAL AVE, LOS ANGELES, CA 90033-1065
(323) 223-6146
(323) 223-6399
Mailing address
1701 ZONAL AVE, LOS ANGELES, CA 90033-1065
(323) 223-6146
(323) 223-6399
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
CA
Other
Enumeration date
06/24/2014
Last updated
06/24/2014
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