# CHANG ORTHOPEDICS

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

## Provider details

- **NPI number:** 1730378324
- **Authorized official:** SOO ILL CHANG M.D. (ORTHOPEDIC SURGEON)
- **Authorized official phone:** (559) 435-7100

## Contact information

- **Practice address:** 1381 E HERNDON AVE, 102, FRESNO, CA 93720-3307
- **Practice address phone:** (559) 435-7100
- **Mailing address:** 1381 E HERNDON AVE, 102, FRESNO, CA 93720-3307

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | A31127 | CA | Yes |

## Other

- **Enumeration date:** 10/18/2007
- **Last updated:** 10/18/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GR0015350 | — | CA |