Altamed Golden Age Adhc

LBN: Altamed Health Services Corp
Altamed Golden Age Adhc is an health care organization with primary practice located at 3820 Martin Luther King Jr Blvd , Lynwood CA 90262. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Day Care, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Adult Day Care is the primary health care specialty. Altamed Health Services Corp can be contacted via phone (310) 632-0415, or through Young, Robert U. via phone (323) 622-2429.

Contact Information

Primary practice address
3820 Martin Luther King Jr Blvd Lynwood CA 90262
Phone: (310) 632-0415
Fax: (310) 639-2734
Website:
Map and Directions
Authorized official contact:
Name: Young, Robert U. Doctor of Medicine (MD)
Phone: (323) 622-2429

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X 060000588 California
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X AUDF0030G California
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 060000588 California
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X California

Profile Details

NPI number 1407061930
LBN Legal business name Altamed Health Services Corp
DBA Doing business as Altamed Golden Age Adhc
Authorized official Young, Robert U. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2007
Last updated Aug 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407061930 NPPES
California MEDICAID ADUF0030G

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