Healthcare Provider Details

I. General information

NPI: 1528311537
Provider Name (Legal Business Name): CHINESE HOSPITAL SUPPORT HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2012
Last Update Date: 10/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

827 PACIFIC AVE
SAN FRANCISCO CA
94133-4301
US

IV. Provider business mailing address

827 PACIFIC AVE
SAN FRANCISCO CA
94133-4301
US

V. Phone/Fax

Practice location:
  • Phone: 415-677-2370
  • Fax:
Mailing address:
  • Phone: 415-677-2370
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JIAN Q ZHANG
Title or Position: ADMINISTRATOR
Credential: DNP
Phone: 415-677-2370