Individual
ALEC CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
250 BON AIR RD, GREENBRAE, CA 94904-1702
(415) 473-6835
Mailing address
250 BON AIR ROAD, GREENBRAE, CA 94904
(415) 473-6835
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20A14880
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2013
Last updated
07/21/2022
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