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General NPI Number Information
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NPI Number | 1992525497
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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 | 10/10/2024
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | 933 S GLENDORA AVE
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City | WEST COVINA
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State | CA
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Zip | 91790-4205
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Country | US
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Telephone | 626-214-3850
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Fax | 626-486-9693
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Provider Business Mailing Address
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Address Line | 2040 CAMFIELD AVENUE
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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 | 323-888-0220
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Authorized Official
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Title or Position | VP, PATIENT FINANCIAL SERVICES
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Name | ROBERT U 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 | 251T00000X
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Taxonomy Name | PACE Provider Organization
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License Number |
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License Number State |
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