Organization
CHANGA LLC
Active
Other names
Monarch Medical
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD ENNISS HANSON JR. PA (OWNER)
(405) 640-9005
Entity
Organization
Contact information
Practice address
33710 9TH AVE S STE 7, FEDERAL WAY, WA 98003-6734
(253) 517-7058
Mailing address
33710 9TH AVE S STE 7, FEDERAL WAY, WA 98003-6734
(253) 517-7058
(253) 517-7139
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/07/2022
Last updated
10/29/2025
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