Basic Information
Provider Information
NPI: 1649474826
EntityType: 2
ReplacementNPI:  
OrganizationName: COMMUNITY HEALTH FOR ASIAN AMERICANS
LastName:  
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MiddleName:  
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Credential:  
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Mailing Information
Address1: 1141 HARBOR BAY PARKWAY
Address2: #105
City: ALAMEDA
State: CA
PostalCode: 64502
CountryCode: US
TelephoneNumber: 5108352777
FaxNumber: 5108350164
Practice Location
Address1: 1141 HARBOR BAY PKWY # 105
Address2:  
City: ALAMEDA
State: CA
PostalCode: 94502
CountryCode: US
TelephoneNumber: 5108352777
FaxNumber: 5108350164
Other Information
ProviderEnumerationDate: 06/12/2007
LastUpdateDate: 07/30/2018
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: YU
AuthorizedOfficialFirstName: CHEN
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AuthorizedOfficialTitleorPosition: DIRECTOR OF FINANCE
AuthorizedOfficialTelephone: 5108352777
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: MR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
251S00000X  Y AgenciesCommunity/Behavioral Health 

No ID Information.


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