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Organization
JYH C CHANG MD PROFESSIONAL CORPORATION
Active
Organization
JYH C CHANG MD PROFESSIONAL CORPORATION
Active
Other names
Pacifica Sur Medical Group Inc, PACIFICA SUR MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JYH C CHANG MD (PRESIDENT)
(626) 962-5141
Entity
Organization
Contact information
Practice address
4318 MAINE AVE STE A, BALDWIN PARK, CA 91706-3326
(626) 962-5141
(626) 962-5141
Mailing address
4318 MAINE AVE STE A, BALDWIN PARK, CA 91706-3326
(626) 962-5141
(626) 962-5141
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BLUE SHIELD
ZZZ52049Z
CA
05
—
GR0071680
—
CA
Enumeration date
05/02/2007
Last updated
01/13/2026
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