Individual
SIMON KUOCHEN CHANG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 WARD AVE, SUITE NUMBER 701, HONOLULU, HI 96814-1600
(808) 599-2854
(808) 599-2891
Mailing address
1100 WARD AVE, SUITE NUMBER 701, HONOLULU, HI 96814-1600
(808) 599-2854
(808) 599-2891
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
6692
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05187505
—
HI
05
—
05187506
—
HI
Enumeration date
08/09/2005
Last updated
07/08/2007
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