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AUDREY WILLA CHANG P.N.P. NPI 1275960494


NPI Information

NPI: 1275960494
Provider Name: AUDREY WILLA CHANG, P.N.P.
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
2071 SAN JOAQUIN HILLS RD
NEWPORT BEACH, CA
ZIP 92660
Phone: (949) 759-1720
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Audrey Willa Chang, P.N.P. is a pediatrics nurse practitioner in Newport Beach, CA. Audrey Willa Chang, P.N.P. NPI is 1275960494. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2071 SAN JOAQUIN HILLS RD
NEWPORT BEACH, CA
ZIP 92660-505
Phone: (949) 759-1720
Fax: (949) 759-1442

The NPI 1275960494 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/2/2013 and was last updated on 3/2/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LP0200XNurse PractitionerPediatrics23514CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.