Provider Demographics
NPI:1982297784
Name:CHANG, HANNAH YA NING (PHD)
Entity Type:Individual
Prefix:DR
First Name:HANNAH
Middle Name:YA NING
Last Name:CHANG
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:596 KATY DR
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-6795
Mailing Address - Country:US
Mailing Address - Phone:909-975-1384
Mailing Address - Fax:
Practice Address - Street 1:510 N 13TH AVE STE 104
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-4973
Practice Address - Country:US
Practice Address - Phone:909-931-3396
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-12
Last Update Date:2021-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC15491171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist