Individual
AUDREY WILLA CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.N.P.
Contact information
Practice address
2071 SAN JOAQUIN HILLS RD, NEWPORT BEACH, CA 92660-6505
(949) 759-1720
(949) 759-1442
Mailing address
24422 AVENIDA DE LA CARLOTA STE 300, LAGUNA HILLS, CA 92653-3628
(949) 599-2434
(949) 599-2430
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
23514
CA
Other
Enumeration date
10/02/2013
Last updated
03/02/2022
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