Provider Demographics
NPI:1265963649
Name:CHINATOWN SERVICE CENTER
Entity type:Organization
Organization Name:CHINATOWN SERVICE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF BEHAVIORAL HEALTH
Authorized Official - Prefix:
Authorized Official - First Name:NINA
Authorized Official - Middle Name:
Authorized Official - Last Name:YUEN-LOC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-808-1720
Mailing Address - Street 1:767 N HILL ST
Mailing Address - Street 2:SUITE 400B
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90012-2343
Mailing Address - Country:US
Mailing Address - Phone:213-808-1720
Mailing Address - Fax:
Practice Address - Street 1:767 N HILL ST
Practice Address - Street 2:SUITE 400B
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90012-2343
Practice Address - Country:US
Practice Address - Phone:213-808-1720
Practice Address - Fax:213-253-0883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-27
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty