MEDICARE: CHRISTINA ROMAY 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	171400000X	Health & Wellness Coach	A-3076041

General Provider Information

NPI Number	:	1922811074
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA ROMAY CHANG

Provider Business Mailing Address
First Line	:	508 RAMONA AVE
Second Line	:
City	:	ALBANY
State	:	CA
Zip	:	94706-1432
Country	:	US
Telephone Number	:	408-564-2599
Fax Number	:

Provider Business Practice Location Address
First Line	:	508 RAMONA AVE
Second Line	:
City	:	ALBANY
State	:	CA
Zip	:	94706-1432
Country	:	US
Telephone Number	:	408-564-2599
Fax Number	:

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

Provider Enumeration Date	:	01/30/2025
Last Update Date	:	01/30/2025

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Directions to “ CHRISTINA ROMAY CHANG ” Practice Location

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