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NPI Code Detail

MEDICARE: MISS POE-SANDI CHANG

MEDICARE: MISS POE-SANDI 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
1363LF0000XFamily Nurse Practitioner95003124CA

General Provider Information

NPI Number : 1790155356
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS POE-SANDI CHANG
Provider Business Mailing Address
First Line : 8555 SILVER RIDGE DR
Second Line :
City : ROSEMEAD
State : CA
Zip : 91770-4353
Country : US
Telephone Number : 626-586-0293
Fax Number :
Provider Business Practice Location Address
First Line : 1401 S BALDWIN AVE
Second Line :
City : ARCADIA
State : CA
Zip : 91007-7922
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2015
Last Update Date : 03/30/2022

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Directions to “ MISS POE-SANDI CHANG ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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