NPI | 1407061930 |
---|---|
Other Name | ALTAMED GOLDEN AGE ADHC |
Entity Type | Organization |
Authorized Contact | ROBERT U. YOUNG VP, Patient Financial Services 323-622-2429 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: CA AUDF0030G) |
Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care (Licence: CA 060000588) |
261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 060000588) | |
261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) | |
Enumeration Date | 2007-05-10 |
Last Update Date | 2019-08-07 |