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NPI Code Detail

MEDICARE: CHANG ACUPUNCTURE & ASSOCIATES, INC.

MEDICARE: CHANG ACUPUNCTURE & ASSOCIATES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturistAC6870CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1AC6870OTHERCAACUPUNCTURE LICENSE NUMBER

General Provider Information

NPI Number : 1366870495
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHANG ACUPUNCTURE & ASSOCIATES, INC.
Provider Business Mailing Address
First Line : 7969 ENGINEER RD
Second Line : #209
City : SAN DIEGO
State : CA
Zip : 92111-1920
Country : US
Telephone Number : 858-495-0771
Fax Number : 858-630-2923
Provider Business Practice Location Address
First Line : 7969 ENGINEER RD
Second Line : #209
City : SAN DIEGO
State : CA
Zip : 92111-1920
Country : US
Telephone Number : 858-495-0771
Fax Number : 858-630-2923
Authorized Official
Title or Position : BILLING SPECIALIST
Name : PAM NOYES
Credential :
Telephone Number : 858-509-7999
Provider Enumeration Date : 10/29/2013
Last Update Date : 10/29/2013

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Directions to “CHANG ACUPUNCTURE & ASSOCIATES, INC. ” Practice Location

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