Provider Demographics
NPI:1891150587
Name:CHINESE HOSPITAL ASSOCIATION
Entity Type:Organization
Organization Name:CHINESE HOSPITAL ASSOCIATION
Other - Org Name:CHINESE HOSPITAL GELLERT HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:JIAN
Authorized Official - Middle Name:Q
Authorized Official - Last Name:ZHANG
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:415-677-2477
Mailing Address - Street 1:386 GELLERT BLVD
Mailing Address - Street 2:SUITE B, C & D
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94015-2611
Mailing Address - Country:US
Mailing Address - Phone:650-755-5884
Mailing Address - Fax:650-761-3580
Practice Address - Street 1:386 GELLERT BLVD
Practice Address - Street 2:SUITE B, C & D
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94015-2611
Practice Address - Country:US
Practice Address - Phone:650-755-5884
Practice Address - Fax:650-761-3580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-22
Last Update Date:2016-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ13328ZMedicare UPIN