Organization Name: | THE CENTER FOR PAN ASIAN COMMUNITY SERVICES, INC. |
NPI Number: | 1538470695 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHAIWON KIM (CEO) |
Mailing Address: | 3760 Park Ave Doraville |
State: | GA US |
Postal Code: | 303401112 |
Phone Number: | 7709360969 |
Fax Number: | 7704589377 |
NPI Enumeration Date: | 06/23/2010 |
NPI Last Update Date: | 06/23/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QC1500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |