Provider Demographics
NPI:1952960551
Name:HERALD CHRISTIAN HEALTH CENTER
Entity Type:Organization
Organization Name:HERALD CHRISTIAN HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF ADMINISTRATION OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:SZETO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-286-8700
Mailing Address - Street 1:3401 AERO JET AVE
Mailing Address - Street 2:
Mailing Address - City:EL MONTE
Mailing Address - State:CA
Mailing Address - Zip Code:91731-2801
Mailing Address - Country:US
Mailing Address - Phone:626-286-8700
Mailing Address - Fax:626-286-8650
Practice Address - Street 1:7423 NEWMARK AVE
Practice Address - Street 2:
Practice Address - City:ROSEMEAD
Practice Address - State:CA
Practice Address - Zip Code:91770-2942
Practice Address - Country:US
Practice Address - Phone:626-286-8700
Practice Address - Fax:626-286-8650
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HERALD CHRISTIAN HEALTH CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-06-07
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)Group - Single Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACMM71178FMedicaid