| Altamed Medical Group-huntington Park | |
|
1900 E Slauson Ave Huntington Park CA 90255-2725 | |
| (323) 487-4110 | |
| (323) 923-5370 |
| Full Name | Altamed Medical Group-huntington Park |
|---|---|
| Speciality | Clinic/Center |
| Location | 1900 E Slauson Ave, Huntington Park, 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 Group-huntington Park 2040 Camfield Ave Los Angeles CA 90040-1501 Ph: (323) 725-8751 | Altamed Medical Group-huntington Park 1900 E Slauson Ave Huntington Park CA 90255-2725 Ph: (323) 487-4110 |
| NPI Number | 1790177582 |
|---|---|
| Provider Enumeration Date | 03/03/2015 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 4284539966 |
|---|---|
| Medicare Enrollment ID | O20151228002367 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790177582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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