Altamed Health Services Corp
Organization Active NPI Federally Qualified Health Center (FQHC) · Los Angeles, CA
NPI 1831525005 · NPPES record last updated Aug 13, 2019
Key facts
- NPI
- 1831525005
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- ALTAMED HEALTH SERVICES CORP
- Practice address
- 1305 S Concord St
Los Angeles, CA 90023-3503 - Phone
- (323) 981-9816
- Fax
- (323) 889-7808
- NPI assigned
- Sep 19, 2013
- Organization subpart
- No
Authorized official
- Name
- Robert U. Young, M.D.
- Title
- VP, Patient Financial Services
- Phone
- (323) 622-2429
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Altamed Health Service Corpotation
Locations
1305 S Concord St
Los Angeles, CA 90023
Phone (323) 981-9816
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
1305 S Concord St
Los Angeles, CA 90023-3503
Mailing address
2040 Camfield Ave
Los Angeles, CA 90040-1501
Phone (323) 622-2429
Other names
- AltaMed Medical Group:Estrada Courts
Other providers in Los Angeles, CA
- Altamed Health Services Corp
- Altamed Health Services Corp
- Altamed Health Services Corp
- Altamed Health Services Corp
- Altamed Health Services Corp
- Altamed Health Services Corp
- Altamed Health Services Corp
- Altamed Health Services Corp
- Altamed Health Services Corp
- Altamed Health Services Corp
All providers in Los Angeles, CA · Federally Qualified Health Center (FQHC) in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.