NPI 1033813589

Altamed Health Services Corp

Organisation PACE Provider Organization Walnut Park, CA

Practice location

Address: 7716 Alameda St, Walnut Park, CA 90255-3745
Phone: (323) 765-6166
Fax: (323) 597-2193
Mailing address: 2040 Camfield Ave., Los Angeles, CA 90040

Authorised official

Name: Robert Uy Young
Title: Vice President, Pfs
Phone: (323) 622-2429

Registered specialties

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X

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Registry record

NPI: 1033813589
Entity type: Organization
NPI issued: 29 Mar 2023
Record last updated: 29 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.