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NPI Code Detail

MEDICARE: DONG L CHANG M.D., INC.

MEDICARE: DONG L CHANG M.D., INC.
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
1207ND0101XMOHS-Micrographic Surgery PhysicianA33186CA
2207NS0135XProcedural Dermatology PhysicianA33186CA
3207N00000XDermatology PhysicianA33186CA
4207ND0900XDermatopathology PhysicianA33186CA

General Provider Information

NPI Number : 1235136243
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONG L CHANG M.D., INC.
Provider Business Mailing Address
First Line : 100 N SANTA ANITA AVE
Second Line :
City : ARCADIA
State : CA
Zip : 91006-3108
Country : US
Telephone Number : 626-821-5998
Fax Number : 626-821-5990
Provider Business Practice Location Address
First Line : 100 N SANTA ANITA AVE
Second Line :
City : ARCADIA
State : CA
Zip : 91006-3108
Country : US
Telephone Number : 626-821-5998
Fax Number : 626-821-5990
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2005
Last Update Date : 10/06/2023

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Directions to “ DONG L CHANG M.D., INC.” Practice Location

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