Healthcare Provider Details

I. General information

NPI: 1649474826
Provider Name (Legal Business Name): COMMUNITY HEALTH FOR ASIAN AMERICANS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2007
Last Update Date: 06/11/2024
Certification Date: 06/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

424 2ND ST
OAKLAND CA
94607-3815
US

IV. Provider business mailing address

424 2ND ST
OAKLAND CA
94607-3815
US

V. Phone/Fax

Practice location:
  • Phone: 510-835-2777
  • Fax: 510-835-0164
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: MR. JOHN CHUNG
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 510-835-2777