Justin Chang
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Waimanalo, HI
NPI 1215636717 · NPPES record last updated Feb 23, 2023
Key facts
- NPI
- 1215636717
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 41-1347 Kalanianaole Hwy
Waimanalo, HI 96795-1247 - Phone
- (808) 259-5466
- NPI assigned
- Feb 23, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
41-1347 Kalanianaole Hwy
Waimanalo, HI 96795-1247
Mailing address
4034 Monticello Dr
Sugar Land, TX 77479-3825
Other providers in Waimanalo, HI
- Sharon Leinaala Bright
- John Lonergan Burke Jr.
- Brandi Kay Bussell
- Taylor Carvalho
- Alexandrine Rebekah Ceballos
- Hayley Cheyneykane
- Jordan S Conley
- Jennifer Conway
- Aimee Joy Abrazaldo Cueva
- Kaipo Kaleokuikealoaloha Dudoit
All providers in Waimanalo, HI · Student in an Organized Health Care Education/Training Program in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2023. 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.