Individual provider · Type 1 NPI

An An Chang

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number 1902390156 Active

Practice location

3125 N Broadway
Los Angeles, CA 90031-2703

Call (213) 482-6400 Map

Mailing address

15512 Villa Del Rio Rd
Fontana, CA 92337-8916

Other practice locations

  • 15512 Villa Del Rio Rd, Fontana, CA 92337-8916 · (909) 201-3700

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XRBT-18-58233 (CA)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1902390156

An An Chang's National Provider Identifier is 1902390156, issued on Jun 20, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 22, 2026.