| Altamed Medical Group- Garden Grove,harbor | |
|
12751 Harbor Blvd Garden Grove CA 92840-5800 | |
| (714) 636-7852 | |
| (714) 636-0928 |
| Full Name | Altamed Medical Group- Garden Grove,harbor |
|---|---|
| Speciality | Clinic/Center |
| Location | 12751 Harbor Blvd, Garden Grove, 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 Group- Garden Grove,harbor 2040 Camfield Ave Los Angeles CA 90040-1501 Ph: (714) 636-7852 | Altamed Medical Group- Garden Grove,harbor 12751 Harbor Blvd Garden Grove CA 92840-5800 Ph: (714) 636-7852 |
| NPI Number | 1083851992 |
|---|---|
| Provider Enumeration Date | 01/14/2009 |
| Last Update Date | 08/13/2019 |
| Medicare PECOS PAC ID | 4284539966 |
|---|---|
| Medicare Enrollment ID | O20100416000720 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083851992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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