Provider Demographics
NPI:1982439006
Name:CHEWANG CHANG
Entity type:Organization
Organization Name:CHEWANG CHANG
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:CHEWANG
Authorized Official - Middle Name:
Authorized Official - Last Name:CHANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-566-6988
Mailing Address - Street 1:1211 PARK AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95126-2924
Mailing Address - Country:US
Mailing Address - Phone:510-566-6988
Mailing Address - Fax:408-503-6526
Practice Address - Street 1:1211 PARK AVE STE 200
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95126-2924
Practice Address - Country:US
Practice Address - Phone:510-566-6988
Practice Address - Fax:408-503-6526
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-06
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty