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NPI Code Detail

MEDICARE: DAVID CHANG MIN HA

MEDICARE: DAVID CHANG MIN HA
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner95012091CA

General Provider Information

NPI Number : 1659923423
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID CHANG MIN HA
Provider Business Mailing Address
First Line : 777 S FIGUEROA ST STE 810
Second Line :
City : LOS ANGELES
State : CA
Zip : 90017-5813
Country : US
Telephone Number : 888-588-8995
Fax Number :
Provider Business Practice Location Address
First Line : 777 S FIGUEROA ST STE 810
Second Line :
City : LOS ANGELES
State : CA
Zip : 90017-5813
Country : US
Telephone Number : 888-588-8995
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2019
Last Update Date : 01/12/2023

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Directions to “ DAVID CHANG MIN HA ” Practice Location

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