Individual
ANDREW LUKE CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9730 SUMMERS RIDGE RD, SAN DIEGO, CA 92121-3101
(858) 549-7400
Mailing address
9730 SUMMERS RIDGE RD, SAN DIEGO, CA 92121-3101
(858) 549-7400
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
01064419A
IN
2085R0001X
Radiation Oncology Physician
29428
OK
2085R0001X
Radiation Oncology Physician
Primary
85308
CA
2085R0001X
Radiation Oncology Physician
MC-148
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200479910A
—
OK
Enumeration date
12/05/2007
Last updated
10/23/2025
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