Altamed Grand Plaza Adhc
LBN: Altamed Health Services Corp
Altamed Grand Plaza Adhc is an health care organization with primary practice located at 701 W Cesar E Chavez Ave Ste 201, Los Angeles CA 90012-2104. 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 (213) 217-5300, or through Young, Robert U. via phone (323) 622-2429.
Contact Information
Primary practice address
701 W Cesar E Chavez Ave Ste 201
Los Angeles CA 90012-2104
Phone: (213) 217-5300
Fax: (213) 217-5396
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Adult Day Care | 261QA0600X | 060000676 | California |
| Ambulatory Health Care Facilities / Adult Day Care | 261QA0600X | ADUF0155F | California |
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | 060000676 | California |
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | California |
Profile Details
| NPI number | 1790999373 |
|---|---|
| LBN Legal business name | Altamed Health Services Corp |
| DBA Doing business as | Altamed Grand Plaza Adhc |
| Authorized official | Young, Robert U. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 10th, 2007 |
| Last updated | Aug 31st, 2011 - about 13 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 | 1790999373 | NPPES |
| California | MEDICAID | ADUF0155F |
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