ALTAMED HEALTH SERVICES CORP NPI 1306015425

NPI Information

  • NPI: 1306015425
  • Provider Name: ALTAMED HEALTH SERVICES CORP
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Doing Business As: ALTAMED MEDICAL AND DENTAL GROUP-HUNTINGTON BEACH
  • CLIA Number: 05D0688995
  • Address: 8041 NEWMAN AVE
    HUNTINGTON BEACH, CA
    ZIP 92647
  • Phone: (714) 500-0224

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NPI Details

ALTAMED HEALTH SERVICES CORP is a federally qualified health center (fqhc) clinic center in Huntington Beach, CA. ALTAMED HEALTH SERVICES CORP NPI is 1306015425. The provider is registered as an organization entity type.
The provider Is Doing Business As Altamed Medical And Dental Group-huntington Beach.

The provider's business location address is:

8041 NEWMAN AVE
HUNTINGTON BEACH, CA
ZIP 92647-034
Phone: (714) 500-0224

The provider's authorized official is Robert U. Young .
The authorized official title is Vp, Patient Financial Services and has the following contact phone number (323) 622-2429.

The CLIA number assigned to this NPI record is 05D0688995 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/22/2008 and was last updated on 1/4/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

What is NPI?

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This page was last updated on: 3/30/2025

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