Organization
ALTAMED HEALTH SERVICES CORP
Active
Other names
AltaMed Pharmacy Santa Ana Bristol
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT U. YOUNG MD (VP, PATIENT FINANCIAL SERVICES)
(323) 622-2429
Entity
Organization
Contact information
Practice address
2720 S BRISTOL ST RM 100, SANTA ANA, CA 92704-6207
(714) 601-4610
Mailing address
2040 CAMFIELD AVE, LOS ANGELES, CA 90040-1501
(323) 622-2449
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
03/17/2020
Last updated
07/26/2023
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