Organization
CHINATOWN SERVICE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK CHENG JD, CHC, CHPC (CHIEF OPERATING OFFICER)
(213) 808-1709
Entity
Organization
Contact information
Practice address
320 S GARFIELD AVE, SUITE 118, ALHAMBRA, CA 91801-3886
(626) 773-3388
(626) 773-3389
Mailing address
767 N HILL ST, SUITE 400, LOS ANGELES, CA 90012-2343
(213) 808-1700
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
261QH0100X
Health Service Clinic/Center
550001510
CA
Other
Enumeration date
06/21/2012
Last updated
02/09/2022
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