Healthcare Provider Details

I. General information

NPI: 1245642305
Provider Name (Legal Business Name): JANET REGINA CHANG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JANET REGINA LIN MD

II. Dates (important events)

Enumeration Date: 05/23/2014
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19950 RINALDI ST
PORTER RANCH CA
91326-4253
US

IV. Provider business mailing address

19950 RINALDI ST
PORTER RANCH CA
91326-4253
US

V. Phone/Fax

Practice location:
  • Phone: 818-403-2410
  • Fax:
Mailing address:
  • Phone: 818-403-2410
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA156761
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: