Healthcare Provider Details

I. General information

NPI: 1265779706
Provider Name (Legal Business Name): COMMUNITY HEALTH FOR ASIAN AMERICANS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2013
Last Update Date: 09/19/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3748 13TH AVE
OAKLAND CA
94610-2820
US

IV. Provider business mailing address

1141 HARBOR BAY PARKWAY #105
ALAMEDA CA
94502
US

V. Phone/Fax

Practice location:
  • Phone: 510-879-2100
  • Fax: 510-879-2109
Mailing address:
  • Phone: 510-835-2777
  • Fax: 510-835-0164

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CHEN YU
Title or Position: DIRECTOR OF FINANCE
Credential:
Phone: 510-835-2777