1760776744 NPI number — CHRISTINE NING CHANG-HALPENNY M.D.

Table of content: CHRISTINE NING CHANG-HALPENNY M.D. (NPI 1760776744)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1760776744 NPI number — CHRISTINE NING CHANG-HALPENNY M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CHANG-HALPENNY
Provider First Name:
CHRISTINE
Provider Middle Name:
NING
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
CHANG
Provider Other First Name:
CHRISTINE
Provider Other Middle Name:
NING
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.D.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1760776744
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 25100
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FRESNO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93729-5100
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
559-326-1222
Provider Business Mailing Address Fax Number:
559-326-1230

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7130 N MILLBROOK AVE STE 100
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FRESNO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93720-3347
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
559-326-1222
Provider Business Practice Location Address Fax Number:
559-326-1230
Provider Enumeration Date:
06/07/2011

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2085R0001X , with the licence number: A123275 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 123275 . This is a "MEDICAL LICENSE" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".