Chang, Audrey Willa

Chang, Audrey Willa is an individual health care provider with primary practice located at 2071 San Joaquin Hills Rd , Newport Beach CA 92660-6505. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Chang, Audrey Willa can be contacted via phone (949) 759-1720.

Contact Information

Primary practice address
2071 San Joaquin Hills Rd Newport Beach CA 92660-6505
Phone: (949) 759-1720
Fax: (949) 759-1442
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 23514 California

Profile Details

NPI number 1275960494
LBN Legal business name Chang, Audrey Willa
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2013
Last updated Mar 2nd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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