Healthcare Provider Details

I. General information

NPI: 1356257729
Provider Name (Legal Business Name): TONY CHANG BILLING, INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 S HAM LN STE E
LODI CA
95242-7502
US

IV. Provider business mailing address

801 S HAM LN STE E
LODI CA
95242-7502
US

V. Phone/Fax

Practice location:
  • Phone: 209-333-1441
  • Fax: 209-333-1476
Mailing address:
  • Phone: 209-333-1441
  • Fax: 209-333-1476

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State

VIII. Authorized Official

Name: DR. TONY M CHANG
Title or Position: CEO
Credential: MD
Phone: 209-986-0802