Altamed Health Services Corp. in Los Angeles - Federally Qualified Health Center (fqhc)
Altamed Health Services Corp. - NPI 1679789051
Altamed Health Services Corp. is a Federally Qualified Health Center (fqhc) in Los Angeles, California. Altamed Health Services Corp. practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Altamed Health Services Corp. is 1679789051. The last update date is 2020-08-22.
Altamed Health Services Corp.'s current location address is 500 Citadel Dr Ste 490, Los Angeles, California. You can contact this provider via phone number 3238897349 and fax number 3238897843. The mailing address for Altamed Health Services Corp. is 500 Citadel Dr Ste 490, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Altamed Health Services Corp. |
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Address | 500 Citadel Dr Ste 490, Los Angeles, California |
Phone Number | 3238897349 |
Fax Number | 3238897843 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | DIRECTOR, |
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Authorized Official Name | Feldman M Peter |
Credentials | MFT |
Telephone Number | 3238897349 |
NPI Number Detail
NPI Number | 1679789051 |
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Provider Enumeration Date | 2007-05-15 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 500 Citadel Dr Ste 490 |
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City | Los Angeles |
State | California (CA) |
Post Code | 900401589 |
Phone Number | 3238897349 |
Fax Number | 3238897843 |
Provider's Primary Taxonomy Detail
Speciality | Federally Qualified Health Center (fqhc) |
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Taxonomy | 261Qf0400X |
Licence No | FHC71093F |
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
FHC71093F | CA | -- |
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What is the Altamed Health Services Corp.'s 1679789051?
The Altamed Health Services Corp.'s NPI (National Provider Identifier) Number is 1679789051. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Altamed Health Services Corp.?
The Altamed Health Services Corp. is situated at 500 Citadel Dr Ste 490, in the city of Los Angeles, state of CA, with the zip code 900401589.
What is the Altamed Health Services Corp.'s specialty and taxonomy code?
The Altamed Health Services Corp.'s specialty is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code is 261Qf0400X.
On what date did the Altamed Health Services Corp. receive its 1679789051 assignment from the Centers for Medicare & Medicaid Services?
The Altamed Health Services Corp. was assigned its 1679789051 by the Centers for Medicare & Medicaid Services on 2007-05-15.
As of what date were the Altamed Health Services Corp.'s details last updated?
The information pertaining to the Altamed Health Services Corp., including its address, specialty, and other details, was most recently updated on 2020-08-22.
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