Provider Demographics
NPI:1528311537
Name:CHINESE HOSPITAL SUPPORT HEALTH SERVICES
Entity type:Organization
Organization Name:CHINESE HOSPITAL SUPPORT HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JIAN
Authorized Official - Middle Name:Q
Authorized Official - Last Name:ZHANG
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:415-677-2370
Mailing Address - Street 1:827 PACIFIC AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94133-4301
Mailing Address - Country:US
Mailing Address - Phone:415-677-2370
Mailing Address - Fax:
Practice Address - Street 1:827 PACIFIC AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94133-4301
Practice Address - Country:US
Practice Address - Phone:415-677-2370
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHINESE HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-10-16
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care