MEDICARE: HUILING CHANG

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	363LF0000X	Family Nurse Practitioner	95017016	CA

General Provider Information

NPI Number	:	1356912687
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HUILING CHANG

Provider Business Mailing Address
First Line	:	18575 GALE AVE STE 235
Second Line	:
City	:	CITY OF INDUSTRY
State	:	CA
Zip	:	91748-1383
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	18575 GALE AVE STE 235
Second Line	:
City	:	CITY OF INDUSTRY
State	:	CA
Zip	:	91748-1383
Country	:	US
Telephone Number	:	626-810-7708
Fax Number	:

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

Provider Enumeration Date	:	07/07/2021
Last Update Date	:	07/07/2021

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Directions to “ HUILING CHANG ” Practice Location

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