Individual
ELBERT KC CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9525 MONTE VISTA AVE STE 105, MONTCLAIR, CA 91763-2231
(909) 626-1205
Mailing address
9525 MONTE VISTA AVE STE 105, MONTCLAIR, CA 91763-2231
(909) 626-1205
(909) 625-1977
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
A89864
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A898640
—
CA
Enumeration date
09/16/2006
Last updated
08/22/2023
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