Provider Demographics
NPI:1639134687
Name:CHANG, HELEN CHING-YEI (MD)
Entity Type:Individual
Prefix:DR
First Name:HELEN
Middle Name:CHING-YEI
Last Name:CHANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:25982 PALA
Mailing Address - Street 2:SUITE 250
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-6719
Mailing Address - Country:US
Mailing Address - Phone:949-588-0051
Mailing Address - Fax:949-588-0052
Practice Address - Street 1:25982 PALA
Practice Address - Street 2:SUITE 250
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-6719
Practice Address - Country:US
Practice Address - Phone:949-588-0051
Practice Address - Fax:949-588-0052
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA65088207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWA65088BMedicare ID - Type Unspecified
CAH00004Medicare UPIN