MEDICARE: DR. HANNAH YA NING CHANG PHD

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	171100000X	Acupuncturist	AC15491	CA

General Provider Information

NPI Number	:	1982297784
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HANNAH YA NING CHANG PHD

Provider Business Mailing Address
First Line	:	596 KATY DR
Second Line	:
City	:	UPLAND
State	:	CA
Zip	:	91786-6795
Country	:	US
Telephone Number	:	909-975-1384
Fax Number	:

Provider Business Practice Location Address
First Line	:	510 N 13TH AVE STE 104
Second Line	:
City	:	UPLAND
State	:	CA
Zip	:	91786-4973
Country	:	US
Telephone Number	:	909-931-3396
Fax Number	:

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

Provider Enumeration Date	:	02/12/2021
Last Update Date	:	02/12/2021

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