Provider Demographics
NPI:1912746702
Name:ALLMED OF LOS ANGELES, INC
Entity type:Organization
Organization Name:ALLMED OF LOS ANGELES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:GLOBAL ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:YVETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARGROVE BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-384-3434
Mailing Address - Street 1:PO BOX 254502
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95865-4502
Mailing Address - Country:US
Mailing Address - Phone:213-384-3434
Mailing Address - Fax:
Practice Address - Street 1:672 S CARONDELET ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90057-3308
Practice Address - Country:US
Practice Address - Phone:213-384-3434
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALL MED OF LOS ANGELES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-05-21
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty