Individual
VIVIAN YOO JUNG CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10833 LE CONTE AVE, MDCC A2-312, LOS ANGELES, CA 90095-3075
(310) 825-6708
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 825-6708
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
A106785
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A1067850
—
CA
Enumeration date
07/17/2008
Last updated
04/03/2013
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