Healthcare Provider Details
I. General information
NPI: 1023953247
Provider Name (Legal Business Name): ALTAMED HEALTH SERVICES CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8610 WHITTIER BLVD
PICO RIVERA CA
90660-2655
US
IV. Provider business mailing address
2040 CAMFIELD AVE
COMMERCE CA
90040-1502
US
V. Phone/Fax
- Phone: 562-703-2803
- Fax: 562-205-4393
- Phone: 888-499-9303
- Fax: 323-888-0220
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251T00000X |
| Taxonomy | PACE Provider Organization |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ROBERT
U
YOUNG
Title or Position: VP, PATIENT FINANCIAL SERVICES
Credential:
Phone: 323-622-2429