Altamed Medical And Dental Group-South Gate
LBN: Altamed Health Services Corp
Altamed Medical And Dental Group-South Gate is an health care organization with primary practice located at 8627 Atlantic Ave , South Gate CA 90280-3501. 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) 312-2625, or through Young, Robert U. via phone (323) 622-2429.
Contact Information
Primary practice address
8627 Atlantic Ave
South Gate CA 90280-3501
Phone: (323) 312-2625
Fax: (323) 312-2984
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1902267479 |
|---|---|
| LBN Legal business name | Altamed Health Services Corp |
| DBA Doing business as | Altamed Medical And Dental Group-South Gate |
| Authorized official | Young, Robert U. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 11th, 2016 |
| Last updated | Feb 7th, 2022 - about 2 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 | 1902267479 | NPPES |
| California | Other | PTL5426 | MEDICAL BOARD OF CALIFORNIA |
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