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General NPI Number Information
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NPI Number | 1902038045
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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 | 08/21/2009
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Last Update Date | 08/21/2009
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Provider Practice Location Address
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Address Line | 701 W CESAR E CHAVEZ AVE SUITE 201
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City | LOS ANGELES
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State | CA
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Zip | 90012-2104
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Country | US
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Telephone | 213-217-5300
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Fax | 213-217-5396
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Provider Business Mailing Address
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Address Line | 500 CITADEL DR SUITE 490
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City | COMMERCE
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State | CA
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Zip | 90040-1575
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Country | US
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Telephone | 323-622-2429
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Fax | 323-889-7843
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Authorized Official
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Title or Position | DIRECTOR, PATIENT FINANCIAL SERVICE
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Name | ROBERT 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 | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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