Provider Demographics
NPI:1285070912
Name:CHANG, JOLING (LAC, RN)
Entity type:Individual
Prefix:MS
First Name:JOLING
Middle Name:
Last Name:CHANG
Suffix:
Gender:F
Credentials:LAC, RN
Other - Prefix:
Other - First Name:JO LING
Other - Middle Name:
Other - Last Name:CHANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LAC,RN
Mailing Address - Street 1:2650 N LOS COYOTES DIAGONAL
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90815-1355
Mailing Address - Country:US
Mailing Address - Phone:626-422-8568
Mailing Address - Fax:
Practice Address - Street 1:2650 N LOS COYOTES DIAGONAL
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90815-1355
Practice Address - Country:US
Practice Address - Phone:626-422-8568
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-21
Last Update Date:2016-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15293171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist