NPI | 1902267479 |
---|---|
Doing Business As | ALTAMED MEDICAL AND DENTAL GROUP-SOUTH GATE |
Entity Type | Organization |
Authorized Contact | ROBERT U. YOUNG VP. Patient Financial Services 323-622-2429 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2016-03-11 |
Last Update Date | 2022-02-07 |