Altamed Medical And Dental Group-commerce, Goodrich | |
972 Goodrich Boulevard Commerce CA 90022-4114 | |
(323) 622-2449 | |
Not Available |
Full Name | Altamed Medical And Dental Group-commerce, Goodrich |
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Speciality | Clinic/Center |
Location | 972 Goodrich Boulevard, Commerce, California |
Authorized Official Name and Position | Robert U. Young (VP, PATIENT FINANCIAL SERVICES) |
Authorized Official Contact | 3236222429 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Altamed Medical And Dental Group-commerce, Goodrich 2040 Camfield Ave Los Angeles CA 90040-1501 Ph: (323) 622-2429 | Altamed Medical And Dental Group-commerce, Goodrich 972 Goodrich Boulevard Commerce CA 90022-4114 Ph: (323) 622-2449 |
NPI Number | 1770006728 |
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Provider Enumeration Date | 07/21/2017 |
Last Update Date | 07/21/2017 |
Medicare PECOS PAC ID | 4284539966 |
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Medicare Enrollment ID | O20180430001307 |
Identifier | Type | State | Issuer |
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1770006728 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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