Altamed Medical Group - E.l.a./whittier | |
5427 East Whittier Blvd E. Los Angeles CA 90022-4101 | |
(323) 869-1900 | |
(323) 869-4101 |
Full Name | Altamed Medical Group - E.l.a./whittier |
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Speciality | Clinic/Center |
Location | 5427 East Whittier Blvd, E. Los Angeles, 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 Group - E.l.a./whittier 2040 Camfield Ave Los Angeles CA 90040-1501 Ph: (323) 725-8751 | Altamed Medical Group - E.l.a./whittier 5427 East Whittier Blvd E. Los Angeles CA 90022-4101 Ph: (323) 869-1900 |
NPI Number | 1396959060 |
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Provider Enumeration Date | 05/10/2007 |
Last Update Date | 08/16/2019 |
Medicare PECOS PAC ID | 4284539966 |
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Medicare Enrollment ID | O20100623000529 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396959060 | NPI | - | NPPES |
FHC11568F | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | FHC11568F (California) | Primary |