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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 : 1407278393
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 : 90040-1501
Country : US
Telephone Number : 323-622-2429
Fax Number : 323-889-7399
Provider Business Practice Location Address
First Line : 1776 E CENTURY BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90002-3050
Country : US
Telephone Number : 323-558-7619
Fax Number : 323-622-2442
Authorized Official
Title or Position : VP, PATIENT FINANCIAL SERVICES
Name : ROBERT U. YOUNG
Credential : MD
Telephone Number : 323-622-2429
Provider Enumeration Date : 01/10/2014
Last Update Date : 08/29/2019

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Directions to “ALTAMED HEALTH SERVICES CORP ” Practice Location

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