Healthcare Provider Details

I. General information

NPI: 1073298196
Provider Name (Legal Business Name): CHINESE HOSPITAL ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2023
Last Update Date: 06/16/2023
Certification Date: 03/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

845 JACKSON ST
SAN FRANCISCO CA
94133-4899
US

IV. Provider business mailing address

845 JACKSON ST
SAN FRANCISCO CA
94133-4899
US

V. Phone/Fax

Practice location:
  • Phone: 415-677-2494
  • Fax: 415-217-4188
Mailing address:
  • Phone: 415-677-2494
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: DR. JIAN QING ZHANG
Title or Position: CEO/SNF ADMINISTRATOR
Credential: DNP
Phone: 415-677-2494