Provider Demographics
NPI:1780965632
Name:PAN ASIAN VOLUNTEER HEALTH CLINIC
Entity type:Organization
Organization Name:PAN ASIAN VOLUNTEER HEALTH CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EDVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-631-1200
Mailing Address - Street 1:7 METROPOLITAN CT STE 1
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-4016
Mailing Address - Country:US
Mailing Address - Phone:240-631-1200
Mailing Address - Fax:
Practice Address - Street 1:7 METROPOLITAN CT STE 1
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878-4016
Practice Address - Country:US
Practice Address - Phone:240-631-1200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHINESE CULTURE AND COMMUNITY SERVICES CENTER INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-09-06
Last Update Date:2011-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable