| Altamed Medical And Dental Group-santa Ana, Main | |
|
1400 N Main St Santa Ana CA 92701-2304 | |
| (714) 541-6815 | |
| (714) 541-8142 |
| Full Name | Altamed Medical And Dental Group-santa Ana, Main |
|---|---|
| Speciality | Clinic/Center |
| Location | 1400 N Main St, Santa Ana, California |
| Authorized Official Name and Position | Robert U. Young (VP, PATIENT FINANCIAL SERVICES) |
| Authorized Official Contact | 3236222429 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Altamed Medical And Dental Group-santa Ana, Main 2040 Camfield Ave Los Angeles CA 90040-1501 Ph: (323) 622-2429 | Altamed Medical And Dental Group-santa Ana, Main 1400 N Main St Santa Ana CA 92701-2304 Ph: (714) 541-6815 |
| NPI Number | 1740427657 |
|---|---|
| Provider Enumeration Date | 01/14/2009 |
| Last Update Date | 08/16/2019 |
| Medicare PECOS PAC ID | 4284539966 |
|---|---|
| Medicare Enrollment ID | O20100416000570 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740427657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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