Healthcare Provider Details

I. General information

NPI: 1952588691
Provider Name (Legal Business Name): ALTAMED HEALTH SERVICES CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2008
Last Update Date: 08/13/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6901 ATLANTIC AVE
BELL CA
90201-3646
US

IV. Provider business mailing address

2040 CAMFIELD AVE
LOS ANGELES CA
90040-1501
US

V. Phone/Fax

Practice location:
  • Phone: 323-562-6700
  • Fax: 323-562-9208
Mailing address:
  • Phone: 323-725-8751
  • Fax: 323-889-7843

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0050X
TaxonomyNon-Surgical Family Planning Clinic/Center
License NumberHAP71020F
License Number StateCA

VIII. Authorized Official

Name: DR. ROBERT U. YOUNG
Title or Position: VP, PATIENT FINANCIAL SERVICES
Credential: M.D.
Phone: 323-622-2429