Healthcare Provider Details

I. General information

NPI: 1801932108
Provider Name (Legal Business Name): ALTAMED MEDICAL AND DENTAL GROUP BOYLE HEIGHTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3945 WHITTIER BLVD
LOS ANGELES CA
90023-2440
US

IV. Provider business mailing address

5948 OLIVE AVE
LONG BEACH CA
90805-3517
US

V. Phone/Fax

Practice location:
  • Phone: 323-265-1998
  • Fax: 323-265-1948
Mailing address:
  • Phone: 323-265-1998
  • Fax: 323-265-1948

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MISS ANGELA ARREDONDO
Title or Position: CLINIC ADMINISTRATOR
Credential:
Phone: 323-265-1998