MEDICARE: BEATRICE CHANG OT

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
1	225X00000X	Occupational Therapist	14970	CA

General Provider Information

NPI Number	:	1831586106
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BEATRICE CHANG OT

Provider Business Mailing Address
First Line	:	395 OYSTER POINT BLVD
Second Line	:	SUITE 202
City	:	SOUTH SAN FRANCISCO
State	:	CA
Zip	:	94080-1928
Country	:	US
Telephone Number	:	650-758-4700
Fax Number	:

Provider Business Practice Location Address
First Line	:	395 OYSTER POINT BLVD
Second Line	:	SUITE 202
City	:	SOUTH SAN FRANCISCO
State	:	CA
Zip	:	94080-1928
Country	:	US
Telephone Number	:	650-758-4700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2015
Last Update Date	:	04/23/2015

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Directions to “ BEATRICE CHANG OT” Practice Location

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