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Organization

CHINATOWN SERVICE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JACK CHENG JD, CHC, CHPC (CHIEF OPERATING OFFICER)
(213) 818-1709
Entity
Organization

Contact information

Practice address
767 N HILL ST STE 200, LOS ANGELES, CA 90012-2365
(213) 808-1792
(213) 680-9427
Mailing address
767 N HILL ST STE 400, LOS ANGELES, CA 90012-2381
(213) 818-1718
(213) 680-9427

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
960000220
CA
261QP2300X
Primary Care Clinic/Center
960000220
CA

Other

Enumeration date
10/11/2005
Last updated
03/22/2025
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