Provider Demographics
NPI:1801092622
Name:CHANG, ALAN T Z (L AC)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:T Z
Last Name:CHANG
Suffix:
Gender:M
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 1:445 W 5TH ST
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030-7059
Mailing Address - Country:US
Mailing Address - Phone:805-486-3494
Mailing Address - Fax:805-487-1605
Practice Address - Street 1:445 W 5TH ST
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-7059
Practice Address - Country:US
Practice Address - Phone:805-486-3494
Practice Address - Fax:805-487-1605
Is Sole Proprietor?:No
Enumeration Date:2007-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC9892171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist