Healthcare Provider Details

I. General information

NPI: 1881531465
Provider Name (Legal Business Name): CHINATOWN SERVICE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 W COLLEGE ST # M38
LOS ANGELES CA
90012-1163
US

IV. Provider business mailing address

711 W COLLEGE ST STE 388
LOS ANGELES CA
90012-3177
US

V. Phone/Fax

Practice location:
  • Phone: 213-808-1792
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: ANGELA CHING
Title or Position: CLINIC OPERATIONS MANAGER
Credential: MPH
Phone: 213-808-1792