Provider Type Icon

ALTAMED HEALTH SERVICES CORP NPI 1346450103


NPI Information

NPI: 1346450103
Provider Name: ALTAMED HEALTH SERVICES CORP

Doing Business As: ALTAMED/BUENACARE HEALTH CLINIC

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1701 ZONAL AVE.
LOS ANGELES, CA
ZIP 90033
Phone: (323) 223-6146
Get Directions

ALTAMED HEALTH SERVICES CORP is a federally qualified health center (fqhc) clinic center in Los Angeles, CA. ALTAMED HEALTH SERVICES CORP NPI is 1346450103. The provider is registered as an organization entity type.
The provider Is Doing Business As Altamed/buenacare Health Clinic.

The provider's business location address is:

1701 ZONAL AVE.
LOS ANGELES, CA
ZIP 90033-065
Phone: (323) 223-6146
Fax: (323) 223-6399

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

The enumeration date for this NPI number is 5/23/2007 and was last updated on 8/31/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)FHC70591FCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1551889MEDICARE UPINCALIFORNIA
2FHC70591FMEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.