MEDICARE: ALTAMED HEALTH SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA0600X	Adult Day Care Clinic/Center

General Provider Information

NPI Number	:	1124252069
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALTAMED HEALTH SERVICES

Provider Business Mailing Address
First Line	:	2040 CAMFIELD AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90040-1501
Country	:	US
Telephone Number	:	323-622-2429
Fax Number	:	323-889-7843

Provider Business Practice Location Address
First Line	:	2820 N FIGUEROA ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90065-1524
Country	:	US
Telephone Number	:	323-227-1180
Fax Number	:	323-227-5226

Authorized Official
Title or Position	:	AVP, PATIENT FINANCIAL SERVICES
Name	:	MR. ROBERT U. YOUNG
Credential	:	M.D.
Telephone Number	:	323-622-2429

Provider Enumeration Date	:	05/06/2009
Last Update Date	:	08/31/2011

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Directions to “ALTAMED HEALTH SERVICES ” Practice Location

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