MEDICARE: ALTAMED HEALTH SERVICES CORPORATION

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
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1144100256
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALTAMED HEALTH SERVICES CORPORATION

Provider Business Mailing Address
First Line	:	2040 CAMFIELD AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90040-1501
Country	:	US
Telephone Number	:	888-499-9303
Fax Number	:	909-288-5215

Provider Business Practice Location Address
First Line	:	2277 N GAREY AVE STE 100
Second Line	:
City	:	POMONA
State	:	CA
Zip	:	91767-2330
Country	:	US
Telephone Number	:	909-870-0148
Fax Number	:	909-288-5215

Authorized Official
Title or Position	:	VP, PATIENT FINANCIAL SERVICES
Name	:	ROBERT UY YOUNG
Credential	:
Telephone Number	:	323-622-2429

Provider Enumeration Date	:	09/08/2025
Last Update Date	:	12/09/2025

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Directions to “ALTAMED HEALTH SERVICES CORPORATION ” Practice Location

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