HEALTH CARE FACILITY LICENSING AND CERTIFICATION

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 Number

General Acute Care Hospitals and Acute Psychiatric Hospitals

Change of Medical Director

Required Documents

Online Application PDF Form

Embedded and generated by online system

Facility Medical Director

Resume for the Medical Director

Helpful Tip

Only required for a facility with a Distinct Part Skilled Nursing Facility (D/P SNF).

Submit the application under the main facility.

Page Last Updated :