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Organization

ASIAN HEALTH SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JUDY GONG (CFO)
(510) 986-6830
Entity
Organization

Contact information

Practice address
818 WEBSTER ST, OAKLAND, CA 94607-4220
(510) 986-6830
(510) 986-6890
Mailing address
345 9TH ST STE 301, OAKLAND, CA 94607-6523
(510) 986-6830
(510) 986-6830

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
140000666
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
140000666
DENTAL CLINIC LICENSE#
CA
Enumeration date
03/07/2007
Last updated
05/16/2008
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