Organization
BEVERLY CHANG MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY ANNE CHANG (OWNER)
(916) 303-4353
Entity
Organization
Contact information
Practice address
1700 EUREKA RD STE 140A, ROSEVILLE, CA 95661-7720
(916) 303-4353
(916) 303-4356
Mailing address
1420 E ROSEVILLE PKWY STE 140-313, ROSEVILLE, CA 95661-3078
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A118995
CA
261QM0850X
Adult Mental Health Clinic/Center
A118995
CA
Other
Enumeration date
01/04/2016
Last updated
08/03/2022
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