ALTAMED SBC PACE EAST LOS ANGELES
NPI 1083823488
Clinic/Center in Los Angeles, CA
- Organization
- Clinic/Center
About ALTAMED SBC PACE EAST LOS ANGELES
This page provides the complete NPI Profile along with additional information for Altamed Sbc Pace East Los Angeles, a provider established in Los Angeles, California operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1083823488 assigned on May 2007. The practitioner's primary taxonomy code is 261Q00000X with license number A107932 (CA). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Dr. Michael E. Hochman Md (Medical Director, Innovation)
- NPI
- 1083823488 Verify this NPI
- Provider Name
- ALTAMED SBC PACE EAST LOS ANGELES
- Entity Type
- Organization
- Location Address
- 5425 POMONA BLVD LOS ANGELES, CA 90022
- Location Phone
- (617) 407-9515
- Mailing Address
- 5425 POMONA BLVD LOS ANGELES, CA 90022
- Mailing Phone
- (617) 407-9515
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-22-2007
- Last Update Date
- 04-26-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License No.
- A107932
- License State
- CA
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
LOS ANGELES, CA 90022
LOS ANGELES, CA 90022
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083823488, enumerated as an "organization" on May 22, 2007.
The provider is located at 5425 POMONA BLVD LOS ANGELES, CA 90022 and the phone number is (617) 407-9515.
Clinic/Center with taxonomy code 261Q00000X.
