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NPI Code Detail

MEDICARE: ALTAMED HEALTH SERVICES CORP

MEDICARE: ALTAMED HEALTH SERVICES CORP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251T00000XPACE Provider Organization

General Provider Information

NPI Number : 1073216453
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALTAMED HEALTH SERVICES CORP
Provider Business Mailing Address
First Line : 2040 CAMFIELD AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90040-1502
Country : US
Telephone Number : 323-622-2429
Fax Number :
Provider Business Practice Location Address
First Line : 3310 W CENTURY BLVD
Second Line :
City : INGLEWOOD
State : CA
Zip : 90303-1305
Country : US
Telephone Number : 323-765-6155
Fax Number : 323-597-2192
Authorized Official
Title or Position : VICE PRESIDENT, PFS
Name : DR. ROBERT UY YOUNG
Credential :
Telephone Number : 323-622-2429
Provider Enumeration Date : 03/23/2023
Last Update Date : 03/23/2023

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Directions to “ALTAMED HEALTH SERVICES CORP ” Practice Location

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