| Organization Name: | ALTAMED HEALTH SERVICES CORP |
| NPI Number: | 1073809042 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT U. YOUNG (AVP, PATIENT FINANCIAL SERVICES) |
| Mailing Address: | 10418 Valley Blvd Suite A El Monte |
| State: | CA US |
| Postal Code: | 917313600 |
| Phone Number: | 6264538466 |
| Fax Number: | 6264538465 |
| NPI Enumeration Date: | 06/28/2011 |
| NPI Last Update Date: | 06/11/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |