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NPI Code Detail

MEDICARE: MS. ANA ROSA CHANG PA-C

MEDICARE: MS. ANA ROSA CHANG PA-C
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
1171100000XAcupuncturistAC7504CA
2363AM0700XMedical Physician AssistantPA20212CA

General Provider Information

NPI Number : 1548292675
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANA ROSA CHANG PA-C
Provider Business Mailing Address
First Line : 2950 INTERNATIONAL BLVD
Second Line :
City : OAKLAND
State : CA
Zip : 94601-2228
Country : US
Telephone Number : 510-535-4410
Fax Number : 510-535-4449
Provider Business Practice Location Address
First Line : 2950 INTERNATIONAL BLVD
Second Line :
City : OAKLAND
State : CA
Zip : 94601-2228
Country : US
Telephone Number : 510-535-4410
Fax Number : 510-535-4449
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2006
Last Update Date : 03/27/2013

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Directions to “ MS. ANA ROSA CHANG PA-C” Practice Location

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