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NPI Code Detail

MEDICARE: DR. JESSICA EUNJOO CHANG PHARM.D.

MEDICARE:  DR. JESSICA EUNJOO CHANG  PHARM.D.
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
1183500000XPharmacistRPH50547CA
21835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistRPH50547CA

General Provider Information

NPI Number : 1801175120
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JESSICA EUNJOO CHANG PHARM.D.
Provider Business Mailing Address
First Line : 27760 MCBEAN PKWY
Second Line :
City : VALENCIA
State : CA
Zip : 91354-1430
Country : US
Telephone Number : 661-263-6480
Fax Number : 661-263-6488
Provider Business Practice Location Address
First Line : 27760 MCBEAN PKWY
Second Line :
City : VALENCIA
State : CA
Zip : 91354-1430
Country : US
Telephone Number : 661-263-6480
Fax Number : 661-263-6488
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2011
Last Update Date : 06/03/2026

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