Basic Information
| Provider Information | |||||||||
| NPI: | 1932390093 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | COMMUNITY HEALTH FOR ASIAN AMERICANS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1141 HARBOR BAY PKWY # 105 | ||||||||
| Address2: | |||||||||
| City: | ALAMEDA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945026596 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5108352777 | ||||||||
| FaxNumber: | 5108350164 | ||||||||
| Practice Location | |||||||||
| Address1: | 3727 SUNSET LN | ||||||||
| Address2: | SUITE 110 | ||||||||
| City: | ANTIOCH | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945096134 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9257781667 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/05/2007 | ||||||||
| LastUpdateDate: | 01/03/2019 | ||||||||
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| AuthorizedOfficialLastName: | YU | ||||||||
| AuthorizedOfficialFirstName: | CHEN | ||||||||
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| AuthorizedOfficialTitleorPosition: | DIRECTOR OF FINANCE | ||||||||
| AuthorizedOfficialTelephone: | 5108352777 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | Y | Agencies | Community/Behavioral Health |
No ID Information.