Organization · Type 2 NPI

Altamed Health Services Corp

Federally Qualified Health Center (FQHC) · Lynwood, CA

NPI number 1891081865 Active

Practice location

3820 Martin Luther King Jr Blvd
Lynwood, CA 90262-3625

Call (310) 632-0415 Map

Fax (310) 639-2734

Mailing address

2040 Camfield Avenue
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: 1891081865
Entity type: Organization (Type 2)
Issued: Jun 28, 2011
Last updated: Aug 13, 2019
Status: Active

Other names

<unavail>
Altamed SBC Lynwood Clinic · doing business as
Altamed SBC Lynwood Clinic · doing business as

Authorized official

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

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About NPI 1891081865

Altamed Health Services Corp's National Provider Identifier is 1891081865, issued on Jun 28, 2011. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Lynwood, CA. The record was last updated on Aug 13, 2019.