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Organization

SHADY CANYON MEDICAL GROUP

Active
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Organization

SHADY CANYON MEDICAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALBERT BEOMJIN CHANG M.D. (MD/OWNER)
(949) 585-9870
Entity
Organization

Contact information

Practice address
15825 LAGUNA CANYON RD STE 104, IRVINE, CA 92618-2126
(949) 585-9870
(949) 585-9331
Mailing address
15825 LAGUNA CANYON RD STE 104, IRVINE, CA 92618-2126
(949) 585-9870
(949) 585-9331

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A77997
CA

Other

Enumeration date
01/08/2009
Last updated
12/18/2025
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