Healthcare Provider Details

I. General information

NPI: 1992056170
Provider Name (Legal Business Name): ASIAN SERVICES IN ACTION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2012
Last Update Date: 09/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3820 SUPERIOR AVE E STE 214
CLEVELAND OH
44114-4128
US

IV. Provider business mailing address

3631 PERKINS AVE SUITE 2A-W
CLEVELAND OH
44114-4705
US

V. Phone/Fax

Practice location:
  • Phone: 216-361-1223
  • Fax:
Mailing address:
  • Phone: 216-881-0330
  • Fax: 216-881-6920

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL BYUN
Title or Position: CEO
Credential: MPA
Phone: 330-535-3263