NPI | 1679789051 |
---|---|
Doing Business As | ALTAMED TEENAGE CENTER AT CHLA |
Entity Type | Organization |
Authorized Contact | PETER M FELDMAN Director, Client Services 323-889-7349 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA FHC71093F) |
Enumeration Date | 2007-05-15 |
Last Update Date | 2020-08-22 |