CHINATOWN SERVICE CENTER
NPI 1427424654
Clinic/Center - Dental in Monterey Park, CA
- Organization
- Clinic/Center
- Dental
- CLIA Number: 05D0541226
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 08-31-2026
About CHINATOWN SERVICE CENTER
This page provides the complete NPI Profile along with additional information for Chinatown Service Center, a provider established in Monterey Park, California operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1427424654 assigned on August 2015. The practitioner's primary taxonomy code is 261QD0000X with license number 960000220 (CA). The provider is registered as an organization and their NPI record was last updated 4 years ago. Chinatown Service Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Edward Lew Dmd (Chief Dentist)
- NPI
- 1427424654 Verify this NPI
- Provider Name
- CHINATOWN SERVICE CENTER
- Entity Type
- Organization
- Location Address
- 850 S ATLANTIC BLVD STE 303 MONTEREY PARK, CA 91754
- Location Phone
- (626) 773-3385
- Mailing Address
- 767 N HILL ST STE 400 LOS ANGELES, CA 90012
- Mailing Phone
- (213) 808-1792
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-11-2015
- Last Update Date
- 02-09-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Dental
- Taxonomy Code
- 261QD0000X
- Type
- Ambulatory Health Care Facilities
- License No.
- 960000220
- License State
- CA
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 171M00000X | Other Service Providers | Case Manager/Care Coordinator |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D0541226
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- FELIX AGUILAR MD
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Chinatown Service Center in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
Reviews for CHINATOWN SERVICE CENTER
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427424654, enumerated as an "organization" on August 11, 2015.
The provider is located at 850 S ATLANTIC BLVD STE 303 MONTEREY PARK, CA 91754 and the phone number is (626) 773-3385.
Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.
