Provider Demographics
NPI:1972342863
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:213-521-3840
Mailing Address - Street 1:7400 PACIFIC BLVD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90255-5954
Mailing Address - Country:US
Mailing Address - Phone:323-583-8383
Mailing Address - Fax:
Practice Address - Street 1:7400 PACIFIC BLVD STE AB
Practice Address - Street 2:
Practice Address - City:HUNTINGTON PARK
Practice Address - State:CA
Practice Address - Zip Code:90255-5954
Practice Address - Country:US
Practice Address - Phone:323-583-8383
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALLMED OF LOS ANGELES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-05-21
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care