| Satellite Of Asian Health Services | |
|
817 Harrison Street Oakland CA 94607-4422 | |
| (510) 986-0430 | |
| (510) 986-0572 |
| Full Name | Satellite Of Asian Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 817 Harrison Street, Oakland, California |
| Authorized Official Name and Position | George Lee (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5109866830 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Satellite Of Asian Health Services 101 8th St Ste 100 Oakland CA 94607-4707 Ph: (510) 735-3100 | Satellite Of Asian Health Services 817 Harrison Street Oakland CA 94607-4422 Ph: (510) 986-0430 |
| NPI Number | 1073827242 |
|---|---|
| Provider Enumeration Date | 07/30/2010 |
| Last Update Date | 10/02/2018 |
| Medicare PECOS PAC ID | 0244271021 |
|---|---|
| Medicare Enrollment ID | O20100927000582 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073827242 | NPI | - | NPPES |
| 1447391719 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 140000125 (California) | Primary |
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