Provider Demographics
NPI:1578747010
Name:CHANG, TING HAO HOWARD (ACUPUNCTURIST)
Entity Type:Individual
Prefix:DR
First Name:TING HAO
Middle Name:HOWARD
Last Name:CHANG
Suffix:
Gender:M
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10717 CAMINO RUIZ STE 134
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92126-2362
Mailing Address - Country:US
Mailing Address - Phone:858-205-7366
Mailing Address - Fax:858-240-6928
Practice Address - Street 1:10717 CAMINO RUIZ STE 134
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92126-2362
Practice Address - Country:US
Practice Address - Phone:858-205-7366
Practice Address - Fax:858-240-6928
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-19
Last Update Date:2015-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC7053171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA7053OtherACUPUNCTURIST