Individual
DR. MICHAEL ABEL CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(858) 249-6748
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A114639
CA
207RG0100X
Gastroenterology Physician
Primary
A114639
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114155488
CCS PANELED
CA
05
—
1114155488
—
CA
Enumeration date
06/25/2009
Last updated
08/25/2017
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