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
559 W LAS TUNAS DR, SAN GABRIEL, CA 91776-1134
(626) 457-9618
(213) 680-9427
Mailing address
767 N HILL ST STE 400, LOS ANGELES, CA 90012-2381
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
960000220
CA
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
05/15/2017
Last updated
02/11/2022
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