Provider Demographics
NPI:1184840522
Name:CHANG, YU JUI (L AC)
Entity Type:Individual
Prefix:
First Name:YU JUI
Middle Name:
Last Name:CHANG
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:281 N. ALTADENA DR STE B
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-3364
Mailing Address - Country:US
Mailing Address - Phone:626-683-0678
Mailing Address - Fax:
Practice Address - Street 1:281 N. ALTADENA DR STE B
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-3364
Practice Address - Country:US
Practice Address - Phone:626-683-0678
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC11294171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist