Individual
JACK CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC. MS
Contact information
Practice address
517 SOUTH B STREET, SUITE B, SAN MATEO, CA 94401
(408) 823-8659
Mailing address
517 SOUTH B STREET, UNIT 221, SAN MATEO, CA 94401
(408) 823-8659
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC12856
CA
Other
Enumeration date
03/31/2009
Last updated
05/22/2015
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