Organization
ALTAMED HEALTH SERVICES CORP
Active
Other names
Altamed Grand Plaza ADHC
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT U. YOUNG M.D. (AVP,PATIENT FINANCIAL SERVICES)
(323) 622-2429
Entity
Organization
Contact information
Practice address
701 W CESAR E CHAVEZ AVE, STE 201, LOS ANGELES, CA 90012-2104
(213) 217-5300
(213) 217-5396
Mailing address
2040 CAMFIELD AVE, LOS ANGELES, CA 90040-1501
(323) 725-8751
(323) 889-7843
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
060000676
CA
261QA0600X
Adult Day Care Clinic/Center
Primary
ADUF0155F
CA
261QF0400X
Federally Qualified Health Center (FQHC)
060000676
CA
261QF0400X
Federally Qualified Health Center (FQHC)
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ADUF0155F
—
CA
Enumeration date
05/10/2007
Last updated
08/31/2011
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