1548675705 NPI number — CHINESE COMMUNITY HEALTH SERVICES

Table of content: ROCHELLE RAE FERREN R.PH. (NPI 1073614459)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548675705 NPI number — CHINESE COMMUNITY HEALTH SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CHINESE COMMUNITY HEALTH SERVICES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1548675705
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/26/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
888 PARIS ST
Provider Second Line Business Mailing Address:
SUITE #202
Provider Business Mailing Address City Name:
SAN FRANCISCO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94112-3857
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
415-677-2488
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
888 PARIS ST
Provider Second Line Business Practice Location Address:
SUITE #202
Provider Business Practice Location Address City Name:
SAN FRANCISCO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94112-3857
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-677-2488
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/26/2014

Additional Information

Authorized Official

Authorized Official Last Name:
LUO LIM
Authorized Official First Name:
ALICIA
Authorized Official Middle Name:
MERCEDES
Authorized Official Title or Position:
FAMILY NURSE PRACTITIONER
Authorized Official Telephone Number:
415-517-2638

Provider Taxonomy Codes

  • Taxonomy code: 261Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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