Provider Demographics
NPI:1346803954
Name:COMMUNITY HEALTH CARE FOUNDATION
Entity Type:Organization
Organization Name:COMMUNITY HEALTH CARE FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROJECT DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-630-8979
Mailing Address - Street 1:406 E VANDERBILT WAY BLDG 8
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92408-3552
Mailing Address - Country:US
Mailing Address - Phone:909-433-0678
Mailing Address - Fax:909-433-0680
Practice Address - Street 1:406 E VANDERBILT WAY BLDG 8
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92408-3552
Practice Address - Country:US
Practice Address - Phone:909-433-0678
Practice Address - Fax:909-433-0680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-18
Last Update Date:2019-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty