Organization
JIANN E CHANG M D A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIANN E CHANG M.D. (PRESIDENT)
(760) 256-3508
Entity
Organization
Contact information
Practice address
801 E MOUNTAIN VIEW ST, SUITE A, BARSTOW, CA 92311-3052
(760) 256-3508
(760) 256-3509
Mailing address
801 E MOUNTAIN VIEW ST, SUITE A, BARSTOW, CA 92311-3052
(760) 256-3508
(760) 256-3509
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
00A30510
CA
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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