ALTAMED DENTAL GROUP-WESTLAKE, 3RD STREET – NPI #1083132849
Clinic/Center

ALTAMED DENTAL GROUP-WESTLAKE, 3RD STREET is an AHC clinic located in LOS ANGELES, CA. NPPES has assigned the NPI number 1083132849 to ALTAMED DENTAL GROUP-WESTLAKE, 3RD STREET on August 31, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ALTAMED DENTAL GROUP-WESTLAKE, 3RD STREET” is a dba name, the actual legal business name for this organization is ALTAMED HEALTH SERVICES CORP. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ALTAMED DENTAL GROUP-WESTLAKE, 3RD STREET below.

NPI Profile for
ALTAMED HEALTH SERVICES CORP

NPI Number
1083132849
Enumeration Date

(about 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ALTAMED HEALTH SERVICES CORP
Doing Business As (dba): ALTAMED DENTAL GROUP-WESTLAKE, 3RD STREET
Primary location
2100 W 3RD ST STE 220
LOS ANGELES, CA 90057-1993
Phone: (888) 499-9303 Fax: (323) 889-7880
Mailing address
2040 CAMFIELD AVE
LOS ANGELES, CA 90040-1501
Phone: (323) 622-2429 Fax: (323) 889-7399
Organization Subpart
No
Authorized Official
ROBERT YOUNG
VP, PATIENT FINANCIAL SERVICES
Phone: (323) 622-2429
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
CA

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.