Healthcare Provider Details

I. General information

NPI: 1588986459
Provider Name (Legal Business Name): ASIAN PACIFIC HEALTH CARE VENTURE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2010
Last Update Date: 01/14/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 UNION PLACE
LOS ANGELES CA
90026
US

IV. Provider business mailing address

4216 FOUNTAIN AVE
LOS ANGELES CA
90029-2256
US

V. Phone/Fax

Practice location:
  • Phone: 323-644-3880
  • Fax: 323-644-3892
Mailing address:
  • Phone: 323-644-3880
  • Fax: 323-644-3892

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number550001203
License Number StateCA

VIII. Authorized Official

Name: KAZUE SHIBATA
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 323-644-3880