Healthcare Provider Details

I. General information

NPI: 1982486114
Provider Name (Legal Business Name): ALMA PATRICIA CHANG NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2023
Last Update Date: 06/06/2026
Certification Date: 06/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

343 E PALMDALE BLVD
PALMDALE CA
93550-7138
US

IV. Provider business mailing address

2668 RUBICON WAY
PALMDALE CA
93550-6534
US

V. Phone/Fax

Practice location:
  • Phone: 661-266-8551
  • Fax:
Mailing address:
  • Phone: 661-816-2461
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number95026815
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: