| Altamed Medical And Dental Group-south Gate | |
|
8627 Atlantic Ave South Gate CA 90280-3501 | |
| (323) 312-2625 | |
| (323) 312-2984 |
| Full Name | Altamed Medical And Dental Group-south Gate |
|---|---|
| Speciality | Clinic/Center |
| Location | 8627 Atlantic Ave, South Gate, 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 |
|---|---|
| Altamed Medical And Dental Group-south Gate 2040 Camfield Ave Los Angeles CA 90040-1501 Ph: (323) 725-8751 | Altamed Medical And Dental Group-south Gate 8627 Atlantic Ave South Gate CA 90280-3501 Ph: (323) 312-2625 |
| NPI Number | 1902267479 |
|---|---|
| Provider Enumeration Date | 03/11/2016 |
| Last Update Date | 02/07/2022 |
| Medicare PECOS PAC ID | 4284539966 |
|---|---|
| Medicare Enrollment ID | O20170623001562 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902267479 | NPI | - | NPPES |
| PTL5426 | Other | CA | MEDICAL BOARD OF CALIFORNIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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