ALTAMED HEALTH SERVICES CORP NPI 1396959060

NPI Information

NPI: 1396959060
Provider Name: ALTAMED HEALTH SERVICES CORP

Doing Business As: ALTAMED MEDICAL GROUP - E.L.A./WHITTIER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
5427 EAST WHITTIER BLVD
E. LOS ANGELES, CA
ZIP 90022
Phone: (323) 869-1900
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ALTAMED HEALTH SERVICES CORP is a federally qualified health center (fqhc) clinic center in E. Los Angeles, CA. ALTAMED HEALTH SERVICES CORP NPI is 1396959060. The provider is registered as an organization entity type.
The provider Is Doing Business As Altamed Medical Group - E.l.a./whittier.

The provider's business location address is:

5427 EAST WHITTIER BLVD
E. LOS ANGELES, CA
ZIP 90022-101
Phone: (323) 869-1900
Fax: (323) 869-4101

The provider's authorized official is Robert U. Young .
The authorized official title is Vp, Patient Financial Services and has the following contact phone number (323) 622-2429.

The CLIA number assigned to this NPI record is 05D0957563 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/10/2007 and was last updated on 8/16/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	FHC11568F	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	FHC11568F	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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