Individual
DR. WARREN CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1498 SOUTHGATE AVE, SUITE 102, DALY CITY, CA 94015-4015
(650) 755-4492
(650) 755-4466
Mailing address
2149 E WARNER RD STE 102, TEMPE, AZ 85284-3495
(480) 393-0309
(480) 610-6189
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
AG9500
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A695000
—
CA
01
—
00A695001
BLUE SHIELD
—
Enumeration date
03/27/2006
Last updated
08/26/2019
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