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NPI Code Detail

MEDICARE: DR. IRENE C. CHANG D.D.S.

MEDICARE:  DR. IRENE C. CHANG  D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223E0200XEndodontics38815CA

General Provider Information

NPI Number : 1326273343
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. IRENE C. CHANG D.D.S.
Provider Business Mailing Address
First Line : 40 E HUNTINGTON DR
Second Line :
City : ARCADIA
State : CA
Zip : 91006-3209
Country : US
Telephone Number : 626-577-0114
Fax Number : 626-577-0116
Provider Business Practice Location Address
First Line : 40 E HUNTINGTON DR
Second Line :
City : ARCADIA
State : CA
Zip : 91006-3209
Country : US
Telephone Number : 626-577-0114
Fax Number : 626-577-0116
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2009
Last Update Date : 02/24/2024

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Directions to “ DR. IRENE C. CHANG D.D.S.” Practice Location

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