MEDICARE: HAPPY MEDICAL CARE CENTER LLC

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	363LP2300X	Primary Care Nurse Practitioner
2	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1861173767
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAPPY MEDICAL CARE CENTER LLC

Provider Business Mailing Address
First Line	:	7610 CARROLL AVE STE 260
Second Line	:
City	:	TAKOMA PARK
State	:	MD
Zip	:	20912-6302
Country	:	US
Telephone Number	:	301-326-1916
Fax Number	:	301-326-1923

Provider Business Practice Location Address
First Line	:	7610 CARROLL AVE STE 260
Second Line	:
City	:	TAKOMA PARK
State	:	MD
Zip	:	20912-6302
Country	:	US
Telephone Number	:	301-326-1916
Fax Number	:	301-326-1923

Authorized Official
Title or Position	:	C0 - PRESIDENT
Name	:	DR. CYRIAC NCHANG
Credential	:	CRNP, DNP
Telephone Number	:	240-645-3624

Provider Enumeration Date	:	07/25/2023
Last Update Date	:	10/31/2023

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Directions to “HAPPY MEDICAL CARE CENTER LLC ” Practice Location

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