Provider Demographics
NPI:1538513650
Name:CHANG, BARBARA (DC, LAC)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:CHANG
Suffix:
Gender:F
Credentials:DC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 W 4TH ST STE 204
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:91711-4707
Mailing Address - Country:US
Mailing Address - Phone:909-686-1877
Mailing Address - Fax:
Practice Address - Street 1:201 W 4TH ST STE 204
Practice Address - Street 2:
Practice Address - City:CLAREMONT
Practice Address - State:CA
Practice Address - Zip Code:91711-4707
Practice Address - Country:US
Practice Address - Phone:909-686-1877
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-14
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33429111N00000X
CA15231171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No111N00000XChiropractic ProvidersChiropractor