1932285335 NPI number — ASIAN NETWORK PACIFIC HOME CARE, INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932285335 NPI number — ASIAN NETWORK PACIFIC HOME CARE, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ASIAN NETWORK PACIFIC HOME CARE, INC
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:
PACIFIC HOME CARE
Provider Other Organization Name Type Code:
3
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:
1932285335
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
212 9TH ST STE 205
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OAKLAND
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94607-4428
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
510-268-1118
Provider Business Mailing Address Fax Number:
510-268-9905

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
212 9TH ST STE 205
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OAKLAND
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94607-4428
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-268-1118
Provider Business Practice Location Address Fax Number:
510-268-9905
Provider Enumeration Date:
10/27/2006

Additional Information

Authorized Official

Authorized Official Last Name:
KWONG
Authorized Official First Name:
IVY
Authorized Official Middle Name:
YIP
Authorized Official Title or Position:
FINANCIAL OFFICER
Authorized Official Telephone Number:
510-268-1118

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: HHA57747G , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




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