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NPI Code Detail

MEDICARE: LYNNA CHANG

MEDICARE: LYNNA 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
1171400000XHealth & Wellness Coach
2225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1932824927
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYNNA CHANG
Provider Business Mailing Address
First Line : 499 LOMA ALTA AVE
Second Line :
City : LOS GATOS
State : CA
Zip : 95030-6227
Country : US
Telephone Number : 669-347-4152
Fax Number :
Provider Business Practice Location Address
First Line : 499 LOMA ALTA AVE
Second Line :
City : LOS GATOS
State : CA
Zip : 95030-6227
Country : US
Telephone Number : 669-205-1778
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2022
Last Update Date : 02/09/2026

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Directions to “ LYNNA CHANG ” Practice Location

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