Organization
DAVID C CHANG, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARISOL L CHANG RN, BSN (ADMINISTRATOR)
(949) 722-1112
Entity
Organization
Contact information
Practice address
307 PLACENTIA AVE, SUITE # 111, NEWPORT BEACH, CA 92663-3310
(949) 722-1112
(949) 631-6356
Mailing address
PO BOX 61117, IRVINE, CA 92602-6037
(949) 722-1112
(949) 631-6356
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A63440
CA
Other
Enumeration date
10/05/2006
Last updated
10/04/2010
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