Organization
ALTAMED HEALTH SERVICES CORP
Active
Parent organization
ALTAMED HEALTH SERVICES CORP.
Other names
AltaMed Medical Group AIDS Waiver
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALTAMED HEALTH SERVICES CORP.
Authorized official
ROBERT U. YOUNG MD (VP, PATIENT FINANCIAL SERVICES)
(323) 622-2429
Entity
Organization
Contact information
Practice address
5427 WHITTIER BLVD, LOS ANGELES, CA 90022-4101
(323) 869-5448
(323) 869-5433
Mailing address
2040 CAMFIELD AVE, LOS ANGELES, CA 90040-1501
(323) 725-8751
(323) 889-7843
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
AYD000440
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AYD000440
AIDS WAIVER PROGRAM
CA
Enumeration date
12/27/2007
Last updated
08/22/2019
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