person
Si Chang
Public Health or Welfare Agency in Long Beach, California
NPI 1073641080

Si Chang is a Public Health or Welfare Agency based in Long Beach, CA. Si Chang practices in Long Beach, CA. The NPI Number for Si Chang is 1073641080 and holds a License No. 362636 (California).

The current practice location address for Si Chang is 2525 Grand Ave, Long Beach, CA and can be reached out via phone at 562-570-4227 and via fax at 562-570-4310.

Location: 2525 Grand Ave, Long Beach, CA, 90815-1765
person
Provider Profile Details
NPI Number
1073641080
Provider Name
Si Chang
Credential
Provider Entity Type
Individual
Gender
Female
Address
2525 Grand Ave, Long Beach, CA, 90815-1765
Phone Number
562-570-4227
Fax Number
562-570-4310
Provider Enumeration Date
03/01/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C2460595 01 CA DRIVER LICENSE
institution
Provider Business Practice Location Address Details
Address
2525 Grand Ave
City
State
Zip
90815-1765
Phone Number
562-570-4227
Fax Number
562-570-4310
person
Provider Business Mailing Address Details
Address
2525 Grand Ave
City
State
Zip
90815-1765
Phone Number
562-570-4227
Fax Number
562-570-4310
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Public Health or Welfare
Speciality
-
Taxonomy
License No.
362636 (California)
Definition
Definition to come...
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