Provider Demographics
NPI:1184901746
Name:CHINESE COMMUNITY HEALTH PLAN
Entity type:Organization
Organization Name:CHINESE COMMUNITY HEALTH PLAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOO
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:415-995-8832
Mailing Address - Street 1:445 GRANT AVE
Mailing Address - Street 2:SUITE 700
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94108-3249
Mailing Address - Country:US
Mailing Address - Phone:415-955-8800
Mailing Address - Fax:415-955-8818
Practice Address - Street 1:445 GRANT AVE
Practice Address - Street 2:SUITE 700
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94108-3249
Practice Address - Country:US
Practice Address - Phone:415-955-8800
Practice Address - Fax:415-955-8818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-10
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA933-0278302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization