Provider Demographics
NPI:1992056170
Name:ASIAN SERVICES IN ACTION, INC.
Entity type:Organization
Organization Name:ASIAN SERVICES IN ACTION, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BYUN
Authorized Official - Suffix:
Authorized Official - Credentials:MPA
Authorized Official - Phone:330-535-3263
Mailing Address - Street 1:3631 PERKINS AVE
Mailing Address - Street 2:SUITE 2A-W
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44114-4705
Mailing Address - Country:US
Mailing Address - Phone:216-881-0330
Mailing Address - Fax:216-881-6920
Practice Address - Street 1:3820 SUPERIOR AVE E STE 214
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44114-4128
Practice Address - Country:US
Practice Address - Phone:216-361-1223
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-27
Last Update Date:2014-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
361051OtherCCN
37768104OtherUIN
36-1051OtherPTAN