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NPI Code Detail

MEDICARE: MRS. SUE Y CHANG NP

MEDICARE:  MRS. SUE Y CHANG  NP
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
1363L00000XNurse Practitioner471589CA

General Provider Information

NPI Number : 1477140309
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SUE Y CHANG NP
Provider Business Mailing Address
First Line : 1760 MORNING TERRACE DR
Second Line :
City : CHINO HILLS
State : CA
Zip : 91709-4835
Country : US
Telephone Number : 909-319-3131
Fax Number :
Provider Business Practice Location Address
First Line : 1760 MORNING TERRACE DR
Second Line :
City : CHINO HILLS
State : CA
Zip : 91709-4835
Country : US
Telephone Number : 909-319-3131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2020
Last Update Date : 12/27/2020

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Directions to “ MRS. SUE Y CHANG NP” Practice Location

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