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Organization

ALTAMED HEALTH SERVICES CORP

Active
Other names
AltaMed SBC Grand Plaza Clinic
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, SUITE 201, LOS ANGELES, CA 90012-2104
(213) 217-5300
(213) 217-5396
Mailing address
2040 CAMFIELD AVE, LOS ANGELES, CA 90040-1501
(323) 622-2429
(323) 889-7399

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
04/12/2012
Last updated
04/12/2012
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