Individual
JILL CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5717 PACIFIC CENTER BLVD STE 200, SAN DIEGO, CA 92121-4250
(858) 859-1188
Mailing address
5717 PACIFIC CENTER BLVD STE 200, SAN DIEGO, CA 92121-4250
(858) 859-1188
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA17949
CA
363AM0700X
Medical Physician Assistant
Primary
PA17949
CA
363AS0400X
Surgical Physician Assistant
PA17949
CA
Other
Enumeration date
09/07/2007
Last updated
05/10/2019
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