Individual ProviderHsuan Yu ChangNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address654 S Anza St, El Cajon, CA 92020-6602(619) 440-5005PECOS EnrollmentBased on the most recent information from CMS, provider Hsuan Yu Chang does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1083330468Provider TypeIndividualFull NameChang, Hsuan YuGenderFemaleSole ProprietorNoEnumeration Date10/17/2022Last Updated10/17/2022Contact InformationPractice LocationPractice Address654 S Anza St, El Cajon, CA 92020-6602Phone(619) 440-5005FaxUnlisted FaxMailing LocationMailing Address654 S Anza St, El Cajon, CA 92020-6602PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense95022574CaliforniaCode163W00000XDescriptionRegistered NurseNursing Service ProvidersLicense95204156California