Provider Demographics
NPI:1558895953
Name:SOUTHEAST ASIAN ASSISTANCE CENTER
Entity Type:Organization
Organization Name:SOUTHEAST ASIAN ASSISTANCE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:YANG
Authorized Official - Middle Name:
Authorized Official - Last Name:XIONG
Authorized Official - Suffix:
Authorized Official - Credentials:MSPPM
Authorized Official - Phone:916-421-1036
Mailing Address - Street 1:5625 24TH ST
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95822-2233
Mailing Address - Country:US
Mailing Address - Phone:916-421-1036
Mailing Address - Fax:916-421-6731
Practice Address - Street 1:5625 24TH ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95822-2233
Practice Address - Country:US
Practice Address - Phone:916-421-1036
Practice Address - Fax:916-421-6731
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-12
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1670927251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable