Healthcare Provider Details

I. General information

NPI: 1053052522
Provider Name (Legal Business Name): ALLMED OF LOS ANGELES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2022
Last Update Date: 05/07/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11001 MAIN ST STE 301
EL MONTE CA
91731-2620
US

IV. Provider business mailing address

PO BOX 254502
SACRAMENTO CA
95865-4502
US

V. Phone/Fax

Practice location:
  • Phone: 626-443-4300
  • Fax:
Mailing address:
  • Phone: 213-739-3282
  • Fax: 213-384-3373

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. YVETTE HARGROVE BROWN
Title or Position: ADMINISTRATOR
Credential: MD, RN
Phone: 909-303-0779