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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.
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