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General NPI Number Information
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NPI Number | 1912746702
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Entity Type | Organization
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Legal Business Name | ALLMED OF LOS ANGELES, INC
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Dates
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Enumeration Date | 05/21/2024
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 672 S CARONDELET ST
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City | LOS ANGELES
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State | CA
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Zip | 90057-3308
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Country | US
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Telephone | 213-384-3434
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 254502
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City | SACRAMENTO
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State | CA
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Zip | 95865-4502
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Country | US
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Telephone | 213-384-3434
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Fax |
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Authorized Official
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Title or Position | GLOBAL ADMINISTRATOR
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Name | YVETTE HARGROVE BROWN
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Credential |
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Telephone | 213-384-3434
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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