Provider Demographics
NPI:1003134545
Name:ASIAN HEALTH SERVICES
Entity Type:Organization
Organization Name:ASIAN HEALTH SERVICES
Other - Org Name:FRANK KIANG MEDICAL CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:510-986-6830
Mailing Address - Street 1:250 E 18TH ST FL 2
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94606-1729
Mailing Address - Country:US
Mailing Address - Phone:510-986-6860
Mailing Address - Fax:510-986-6890
Practice Address - Street 1:250 E 18TH ST FL 2
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94606-1729
Practice Address - Country:US
Practice Address - Phone:510-986-6860
Practice Address - Fax:510-986-6890
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ASIAN HEALTH SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-05-07
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1447391719Medicaid
CA=========OtherTAX ID