MEDICARE: MS. HUI CHIN 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	171100000X	Acupuncturist	AC 16245	CA

General Provider Information

NPI Number	:	1487058525
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. HUI CHIN CHANG

Provider Business Mailing Address
First Line	:	2905 STENDER WAY STE 82
Second Line	:
City	:	SANTA CLARA
State	:	CA
Zip	:	95054-3224
Country	:	US
Telephone Number	:	650-917-2355
Fax Number	:

Provider Business Practice Location Address
First Line	:	2905 STENDER WAY STE 82
Second Line	:
City	:	SANTA CLARA
State	:	CA
Zip	:	95054-3224
Country	:	US
Telephone Number	:	650-917-2355
Fax Number	:

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

Provider Enumeration Date	:	10/17/2014
Last Update Date	:	10/17/2014

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