Skip Navigation LinksGACH-APH-CHOA-Provider-Checklist

HEALTH CARE FACILITY LICENSING AND CERTIFICATIONā€‹ā€‹ā€‹ā€‹ā€‹ā€‹

Contact Us

Phone: (916) 552-8632
Email: CAB@cdph.ca.gov     

For application status requests, please include the following in your email:

  • Name of Facility or Agency
  • License or Facility/Agency # (if applicable)
  • Address
  • Facility or Provider Type
  • Date Documentation Sent
  • Contact Numberā€‹
ā€‹

General Acute Care Hospitals and Acute Psychiatric Hospitals

Change of Administrator

Required Documents

Online Application PDF Form
  • Embedded and generated by online system
Helpful Tip
  • Submit the application under the main facility.
    • ā€‹Specify if the request is for the main or distinct part (D/P) facility.


ā€‹
ā€‹ā€‹
Page Last Updated :