Provider Demographics
NPI:1386733277
Name:ASIAN ASSOCIATION OF UTAH
Entity type:Organization
Organization Name:ASIAN ASSOCIATION OF UTAH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SHU
Authorized Official - Middle Name:H
Authorized Official - Last Name:CHENG
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:801-467-6060
Mailing Address - Street 1:1588 MAJOR ST
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84115-1631
Mailing Address - Country:US
Mailing Address - Phone:801-467-6060
Mailing Address - Fax:801-486-3007
Practice Address - Street 1:1588 MAJOR ST
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84115-1631
Practice Address - Country:US
Practice Address - Phone:801-467-6060
Practice Address - Fax:801-486-3007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT11254251S00000X, 261QM0801X, 261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251S00000XAgenciesCommunity/Behavioral Health
Not Answered261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Not Answered261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder