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General NPI Number Information
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NPI Number | 1144100256
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Entity Type | Organization
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Legal Business Name | ALTAMED HEALTH SERVICES CORPORATION
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Dates
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Enumeration Date | 09/08/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 2277 N GAREY AVE STE 100
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City | POMONA
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State | CA
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Zip | 91767-2330
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Country | US
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Telephone | 909-870-0148
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Fax | 909-288-5215
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Provider Business Mailing Address
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Address Line | 2040 CAMFIELD AVE
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City | LOS ANGELES
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State | CA
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Zip | 90040-1501
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Country | US
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Telephone | 888-499-9303
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Fax | 909-288-5215
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Authorized Official
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Title or Position | VP, PATIENT FINANCIAL SERVICES
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Name | ROBERT UY YOUNG
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Credential |
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Telephone | 323-622-2429
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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