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Individual

DR. JOCELYN U CHANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
53-3925 AKONI PULE HWY, KAPAAU, HI 96755
(808) 889-6236
(808) 889-0107
Mailing address
45-549 PLUMERIA ST, HONOKAA, HI 96727-6902
(808) 775-7204
(808) 775-7204

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
DOS769
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
079683-04
HI
01
DOS-769
STATE LICENSE
HI
01
E02636
CONTROLLED SUBSTANCES
HI
Enumeration date
10/04/2006
Last updated
03/07/2023
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