Individual
IRENE JOAN CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1825 4TH ST FL 6, SAN FRANCISCO, CA 94143-2350
(415) 476-2757
Mailing address
1825 4TH ST FL 6, SAN FRANCISCO, CA 94143-2350
(415) 476-2757
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
60654898
WA
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
A186751
CA
207SG0202X
Clinical Biochemical Genetics Physician
MD60654898
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033539671
—
WA
Enumeration date
04/22/2014
Last updated
08/29/2024
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