Individual
DR. CYNTHIA M CARSOLIN-CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1800 SULLIVAN AVE, RM 506, DALY CITY, CA 94015-2225
(415) 642-5881
(415) 647-0841
Mailing address
1800 SULLIVAN AVE, RM 506, DALY CITY, CA 94015-2225
(415) 642-5881
(415) 647-0841
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A48831
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A488310
—
CA
05
—
00A488311
—
CA
Enumeration date
07/06/2006
Last updated
11/01/2017
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