Organization
CHINATOWN SERVICE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD LEW DMD (CHIEF DENTIST)
(213) 808-1790
Entity
Organization
Contact information
Practice address
850 S ATLANTIC BLVD STE 303, MONTEREY PARK, CA 91754-6712
(626) 773-3385
Mailing address
767 N HILL ST STE 400, LOS ANGELES, CA 90012-2381
(213) 808-1792
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
261QD0000X
Dental Clinic/Center
Primary
960000220
CA
Other
Enumeration date
08/11/2015
Last updated
02/09/2022
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