Stephen Hyunjin Chang
Individual provider Active NPI Acupuncturist · Rolling Hills Estates, CA
NPI 1053964015 · NPPES record last updated Jul 18, 2019
Key facts
- NPI
- 1053964015
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- AC17413 (CA)
- Practice address
- 19 Peartree LN
Rolling Hills Estates, CA 90274-4824 - Phone
- (213) 820-7492
- NPI assigned
- Jul 18, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC17413 | CA | MD | Acupuncturist |
Practice roles (1 of 2)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yn Healthcare LLC | Acupuncturist | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC17413 | CA | Yes |
Addresses
Primary practice location
19 Peartree LN
Rolling Hills Estates, CA 90274-4824
Mailing address
19 Peartree LN
Rolling Hills Estates, CA 90274-4824
Phone (213) 820-7492
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- Maribel Castro
- Carla A Cavalier Bowdoin
- Michael Chan
- Hanbyul Choi
- Jennifer Lynn Chokemesil
- Stacey Lynn Christensen
- Kathi Colli
- Complete Women Care, Inc.
All providers in Rolling Hills Estates, CA · Acupuncturist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.