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Organization
PETER Y. CHANG, M.D., PH.D., INC.
Active
Organization
PETER Y. CHANG, M.D., PH.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER Y. CHANG M.D. (PRESIDENT)
(951) 359-0660
Entity
Organization
Contact information
Practice address
3975 JACKSON ST, SUITE 102, RIVERSIDE, CA 92503-3901
(951) 359-0660
Mailing address
3975 JACKSON ST, SUITE 102, RIVERSIDE, CA 92503-3901
(951) 359-0660
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
G42520
CA
Other
Enumeration date
10/17/2007
Last updated
10/17/2007
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