| NPI | 1790999373 |
|---|---|
| Other Name | ALTAMED GRAND PLAZA ADHC |
| Entity Type | Organization |
| Authorized Contact | ROBERT U. YOUNG A VP,Patient Financial Services 323-622-2429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: CA ADUF0155F) |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| 261QA0600X Clinic/Center, Adult Day Care (Licence: CA 060000676) | |
| 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 060000676) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2011-08-31 |