| Altamed Health Services Corp | |
|
5427 East Whittier Blvd E. Los Angeles CA 90022-4101 | |
| (323) 869-1900 | |
| (323) 869-4101 |
| Full Name | Altamed Health Services Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 5427 East Whittier Blvd, E. Los Angeles, 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 Health Services Corp 2040 Camfield Ave Los Angeles CA 90040-1501 Ph: (323) 725-8751 | Altamed Health Services Corp 5427 East Whittier Blvd E. Los Angeles CA 90022-4101 Ph: (323) 869-1900 |
| NPI Number | 1396959060 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 08/16/2019 |
| Medicare PECOS PAC ID | 4284539966 |
|---|---|
| Medicare Enrollment ID | O20100623000529 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396959060 | NPI | - | NPPES |
| FHC11568F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | FHC11568F (California) | Primary |