Altamed Pace-East Los Angeles
LBN: Altamed Health Services Corp.
Altamed Pace-East Los Angeles is an health care organization with primary practice located at 5425 Pomona Blvd , Los Angeles CA 90022-1716. The organization recently has only one registered license in Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization, which is considered as the primary health care specialty.
Altamed Health Services Corp. can be contacted via phone (323) 728-0411, or through Young, Robert U. via phone (323) 622-2429.
Contact Information
Primary practice address
5425 Pomona Blvd
Los Angeles CA 90022-1716
Phone: (323) 728-0411
Fax: (323) 728-1535
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization | 251T00000X | CMM70726F | California |
Profile Details
| NPI number | 1184835530 |
|---|---|
| LBN Legal business name | Altamed Health Services Corp. |
| DBA Doing business as | Altamed Pace-East Los Angeles |
| Authorized official | Young, Robert U. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 25th, 2007 |
| Last updated | Aug 22nd, 2019 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184835530 | NPPES |
| California | MEDICAID | CMM70726F |
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