Chang, Su-Juan
Chang, Su-Juan is an sole proprietor health care provider with primary practice located at 1121 E Valley Blvd , San Gabriel CA 91776-3610. She recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as her primary health care specialty. Chang, Su-Juan can be contacted via phone (626) 757-9909.Contact Information
Primary practice address
1121 E Valley Blvd
San Gabriel CA 91776-3610
Phone: (626) 757-9909
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Acupuncturist | 171100000X | AC5538 | California |
Profile Details
| NPI number | 1194859504 |
|---|---|
| LBN Legal business name | Chang, Su-Juan |
| Credentials | CA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 15th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194859504 | NPPES |
| California | MEDICAID | AC0055380 |
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