Provider Demographics
NPI:1548675705
Name:CHINESE COMMUNITY HEALTH SERVICES
Entity type:Organization
Organization Name:CHINESE COMMUNITY HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:MERCEDES
Authorized Official - Last Name:LUO LIM
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, FNP
Authorized Official - Phone:415-517-2638
Mailing Address - Street 1:888 PARIS ST
Mailing Address - Street 2:SUITE #202
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94112-3857
Mailing Address - Country:US
Mailing Address - Phone:415-677-2488
Mailing Address - Fax:
Practice Address - Street 1:888 PARIS ST
Practice Address - Street 2:SUITE #202
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94112-3857
Practice Address - Country:US
Practice Address - Phone:415-677-2488
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHINESE COMMUNITY HEALTH SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-06-26
Last Update Date:2014-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center