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Andrew Changala

Student in an Organized Health Care Education/Training Program in Santa Maria, CA. Individual provider (NPI-1).

NPI number1194697706
StatusActive
Last updated in NPPESSep 22, 2025

Details

NPI
1194697706
Entity type
Individual (NPI-1)
Name
Mr. Andrew Changala
Sex
Male
Sole proprietor
No
Enumeration date
Sep 22, 2025
Certification date
Sep 22, 2025
Last updated
Sep 22, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Other names

  • Andy Changala (Other Name)

Practice location

1075 E Betteravia Rd Ste 201
Santa Maria, CA 93454-7023

Phone 559-789-3630

Mailing address

3856 W Flagstaff Ave
Visalia, CA 93291-9395

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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