Altamed General Pediatrics @ Children'S Hospital
LBN: Altamed Health Services Corp.
Altamed General Pediatrics @ Children'S Hospital is an health care organization with primary practice located at 4650 W Sunset Blvd , Los Angeles CA 90027-6062. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty.
Altamed Health Services Corp. can be contacted via phone (323) 669-2113, or through Young, Robert U. via phone (323) 622-2429.
Contact Information
Primary practice address
4650 W Sunset Blvd
Los Angeles CA 90027-6062
Phone: (323) 669-2113
Fax: (323) 906-8003
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | FHC71094F | California |
Profile Details
| NPI number | 1629283197 |
|---|---|
| LBN Legal business name | Altamed Health Services Corp. |
| DBA Doing business as | Altamed General Pediatrics @ Children'S Hospital |
| Authorized official | Young, Robert U. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 10th, 2007 |
| Last updated | Aug 20th, 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 | 1629283197 | NPPES |
| California | MEDICAID | FHC71094F |
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