Healthcare Provider Details

I. General information

NPI: 1417165929
Provider Name (Legal Business Name): CHINESE COMMUNITY HEALTH CARE ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

445 GRANT AVE FL 7
SAN FRANCISCO CA
94108-3208
US

IV. Provider business mailing address

445 GRANT AVE FL 7
SAN FRANCISCO CA
94108-3208
US

V. Phone/Fax

Practice location:
  • Phone: 415-955-8800
  • Fax: 415-955-8811
Mailing address:
  • Phone: 415-955-8800
  • Fax: 415-955-8811

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License Number
License Number State

VIII. Authorized Official

Name: DR. EDWARD A CHOW
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 415-955-8800