Organization
CHANG WHOLISTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILY CHANG (PRESIDENT)
(805) 486-3494
Entity
Organization
Contact information
Practice address
445 W 5TH STREET, OXNARD, CA 93030-7059
(805) 486-3494
(805) 487-1605
Mailing address
445 W 5TH ST, OXNARD, CA 93030-7059
(805) 486-3494
(805) 487-1605
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC9892
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801092622
INDIVIDUAL NPI
CA
Enumeration date
03/18/2009
Last updated
03/18/2009
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