# TERRANCE T CHANG MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265502793
- **Authorized official:** TERRANCE T CHANG (PHYSICIAN)
- **Authorized official phone:** (916) 791-0797

## Contact information

- **Practice address:** 8723 SIERRA COLLEGE BLVD, SUITE 220, ROSEVILLE, CA 95661-5920
- **Practice address phone:** (916) 791-0797
- **Mailing address:** 4120 DOUGLAS BLVD \# 112, GRANITE BAY, CA 95746-5936

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | G33580 | CA | Yes |
| 207KA0200X | Allergy Physician | G33580 | CA | — |
| 207KI0005X | Clinical & Laboratory Immunology (Allergy & Immunology) Physician | G33580 | CA | — |
| 208000000X | Pediatrics Physician | G33580 | CA | — |
| 2080I0007X | Pediatric Clinical & Laboratory Immunology Physician | G33580 | CA | — |
| 2080P0006X | Developmental - Behavioral Pediatrics Physician | G33580 | CA | — |
| 2080P0201X | Pediatric Allergy/Immunology Physician | G33580 | CA | — |

## Other

- **Enumeration date:** 11/09/2006
- **Last updated:** 11/04/2015