Most Relevant Information
Provider Data
| NPI Number: | 1003423070 |
| Provider Name: | AH YEON CHANG RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WC0400X |
| Specialty: | Registered Nurse |
| License Number: | 793120 |
Most Important Dates
| Enumeration Date: | 09/24/2020 |
| Last Updated: | 09/24/2020 |
Provider Practice Location
1720 E CESAR E CHAVEZ AVE
LOS ANGELES
CA
900332414
Practice Location Phone/Fax
| Phone: | 3232685000 |
| Fax: |
Provider Mailing Location
216 W MERLOT DR
COVINA
CA
917231565
Provider Mailing Phone/Fax
| Phone: | 2135002236 |
| Fax: |