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NPI Code Detail

MEDICARE: DR. DAVID CHANG M.D.

MEDICARE: DR. DAVID CHANG M.D.
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
1207L00000XAnesthesiology PhysicianA72717CA

General Provider Information

NPI Number : 1275502866
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID CHANG M.D.
Provider Business Mailing Address
First Line : PO BOX 4259
Second Line :
City : CERRITOS
State : CA
Zip : 90703-4259
Country : US
Telephone Number : 562-407-2080
Fax Number : 562-407-2082
Provider Business Practice Location Address
First Line : 2231 S WESTERN AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90018-1302
Country : US
Telephone Number : 562-407-2080
Fax Number : 562-407-2080
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2006
Last Update Date : 10/04/2010

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