Individual
STACY CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6670 ALTON PKWY, IRVINE, CA 92618-3734
(949) 932-5150
Mailing address
6670 ALTON PKWY, IRVINE, CA 92618-3734
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
615341
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95038457
CA
Other
Enumeration date
09/04/2025
Last updated
04/07/2026
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