Individual
SUSAN S. CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2438 N PONDEROSA DR, SUITE # C-101, CAMARILLO, CA 93010-2369
(805) 383-9727
(805) 764-1076
Mailing address
4000 CALLE TECATE STE 115, CAMARILLO, CA 93012-5285
(805) 485-2400
(805) 233-3025
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A61663
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A616630
—
CA
Enumeration date
12/11/2006
Last updated
07/10/2023
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