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General NPI Number Information
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NPI Number | 1194401422
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Entity Type | Organization
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Legal Business Name | RYAN CHANG, DPM, INC.
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Dates
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Enumeration Date | 06/22/2023
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 62 CORPORATE PARK STE 235
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City | IRVINE
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State | CA
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Zip | 92606-3123
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Country | US
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Telephone | 949-484-4405
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Fax | 949-368-2230
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Provider Business Mailing Address
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Address Line | 46 SNAPDRAGON
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City | IRVINE
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State | CA
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Zip | 92604-2844
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Country | US
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Telephone | 201-981-3166
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. WON HO CHANG
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Credential | DPM
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Telephone | 949-484-4405
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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