Healthcare Provider Details
I. General information
NPI: 1609147743
Provider Name (Legal Business Name): ASIAN PACIFIC HEALTH CARE VENTURE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/20/2012
Last Update Date: 01/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9960 BALDWIN PL
EL MONTE CA
91731-2204
US
IV. Provider business mailing address
9960 BALDWIN PL
EL MONTE CA
91731-2204
US
V. Phone/Fax
- Phone: 323-644-3880
- Fax: 323-644-3892
- Phone: 323-644-3880
- Fax: 323-644-3892
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QP2300X |
| Taxonomy | Primary Care Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QC1500X |
| Taxonomy | Community Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHRISTINA
FIGUEROA-CHAN
Title or Position: HR ASSOCIATE MANAGER
Credential:
Phone: 323-300-3819