Healthcare Provider Details

I. General information

NPI: 1891150587
Provider Name (Legal Business Name): CHINESE HOSPITAL ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2015
Last Update Date: 01/07/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

386 GELLERT BLVD SUITE B, C & D
DALY CITY CA
94015-2611
US

IV. Provider business mailing address

386 GELLERT BLVD SUITE B, C & D
DALY CITY CA
94015-2611
US

V. Phone/Fax

Practice location:
  • Phone: 650-755-5884
  • Fax: 650-761-3580
Mailing address:
  • Phone: 650-755-5884
  • Fax: 650-761-3580

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. JIAN Q ZHANG
Title or Position: CHIEF OPERATING OFFICER
Credential: DNP
Phone: 415-677-2477