Changa LLC
NPI #1215658380 in Federal Way, Washington
Provider Information
- NPI Number
- 1215658380
- Entity Type
- Organization
- Organization Name
- Changa LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Sep 7, 2022
- Last Updated
- Oct 29, 2025
Practice Location
- Address
- 33710 9TH AVE S STE 7
- City
- Federal Way
- State
- Washington
- ZIP Code
- 98003-6734
- Phone
- (253) 517-7058
Authorized Official
- Name
- RICHARD ENNISS HANSON JR., PA
- Title
- OWNER
- Phone
- (405) 640-9005
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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