NPI | 1902453731 |
---|---|
Doing Business As | ALTAMED MEDICAL GROUP-WESTLAKE, 3RD STREET |
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 | 2019-08-26 |
Last Update Date | 2019-08-26 |