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Altamed Health Services Corp

Organization Active NPI PACE Provider Organization · Covina, CA

NPI 1477975324 · NPPES record last updated Aug 29, 2019

Key facts

NPI
1477975324
Entity type
Organization (NPI type 2)
Primary specialty
PACE Provider Organization 251T00000X
Legal business name
ALTAMED HEALTH SERVICES CORP
Practice address
535 S 2ND Ave
Covina, CA 91723-3013
Phone
(323) 558-7619
Fax
(323) 622-2442
NPI assigned
Jan 13, 2014
Organization subpart
No

Authorized official

Name
Robert U. Young, MD
Title
VP, Patient Financial Services
Phone
(323) 622-2429

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2079964Altamed Pace-Covina
535 S 2ND Ave, Covina, CA 91723		Certificate of waiverJun 26, 2028

National Provider Directory

Tax ID family
Altamed Health Service Corpotation (117 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X Yes

Addresses

Primary practice location

535 S 2ND Ave
Covina, CA 91723-3013

Mailing address

2040 Camfield Ave
Los Angeles, CA 90040-1501
Phone (323) 622-2429

Other names

  • AltaMed PACE-Covina Doing business as

Other providers in Covina, CA

All providers in Covina, CA · PACE Provider Organization in California

Sources for this page

Verify at the official NPI Registry.