Healthcare Provider Details

I. General information

NPI: 1518015866
Provider Name (Legal Business Name): COMMUNITY HEALTH FOR ASIAN AMERICANS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2007
Last Update Date: 01/26/2022
Certification Date: 01/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3919 MACDONALD AVE
RICHMOND CA
94805-2229
US

IV. Provider business mailing address

3919 MACDONALD AVE
RICHMOND CA
94805-2229
US

V. Phone/Fax

Practice location:
  • Phone: 510-235-7555
  • Fax: 510-233-4545
Mailing address:
  • Phone: 510-235-7555
  • Fax: 510-233-4545

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

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