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Organization

EKG360

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RUEY-KANG CHANG MD (CEO)
(310) 866-0709
Entity
Organization

Contact information

Practice address
1360 VALLEY VISTA DR STE 203, DIAMOND BAR, CA 91765-3953
(310) 866-0709
(310) 755-3108
Mailing address
1360 VALLEY VISTA DR STE 203, DIAMOND BAR, CA 91765-3953
(310) 866-0709
(310) 755-3108

Taxonomy

Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary

Other

Enumeration date
09/15/2021
Last updated
09/15/2021
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