Individual
CHRISTINE YUAN CHEN CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
751 S BASCOM AVE, DEPT OF PSYCHIATRY, SAN JOSE, CA 95128-2604
(408) 885-6142
Mailing address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
(408) 885-5000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G53671
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G536710
—
CA
Enumeration date
02/23/2006
Last updated
12/22/2021
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