MEDICARE: COMMUNITY HEALTH FOR ASIAN AMERICANS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1740659374
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY HEALTH FOR ASIAN AMERICANS

Provider Business Mailing Address
First Line	:	1141 HARBOR BAY PARKWAY
Second Line	:	#105
City	:	ALAMEDA
State	:	CA
Zip	:	94502-4724
Country	:	US
Telephone Number	:	510-835-2777
Fax Number	:	510-835-0164

Provider Business Practice Location Address
First Line	:	1250 23RD ST
Second Line	:
City	:	RICHMOND
State	:	CA
Zip	:	94804-1011
Country	:	US
Telephone Number	:	510-237-8770
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF FINANCE
Name	:	CHEN YU
Credential	:
Telephone Number	:	510-835-2777

Provider Enumeration Date	:	09/24/2015
Last Update Date	:	09/19/2017

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