Individual
JEFFREY C CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
869 N CHERRY ST, TULARE, CA 93274-2207
(559) 668-0821
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A36575
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A365750
—
CA
Enumeration date
05/25/2006
Last updated
07/24/2012
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