Organization · Type 2 NPI

Altamed Health Services Corp

Federally Qualified Health Center (FQHC) · Commerce, CA

NPI number 1770006728 Active

Practice location

972 Goodrich Boulevard
Commerce, CA 90022-4114

Call (323) 622-2449 Map

Mailing address

2040 Camfield Ave
Los Angeles, CA 90040-1501

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

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NPI record

NPI: 1770006728
Entity type: Organization (Type 2)
Issued: Jul 21, 2017
Last updated: Jul 21, 2017
Status: Active

Other names

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Altamed Medical and Dental Group-Commerce, Goodrich · doing business as
Altamed Medical and Dental Group-Commerce, Goodrich · doing business as

Authorized official

Robert U. Young, MD
VP, Patient Financial Services
(323) 622-2429

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1770006728

Altamed Health Services Corp's National Provider Identifier is 1770006728, issued on Jul 21, 2017. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Commerce, CA. The record was last updated on Jul 21, 2017.