Individual
DR. JITSEN CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2001 SANTA MONICA BLVD., SUITE 468W, SANTA MONICA, CA 90404
(310) 255-0990
(310) 255-0996
Mailing address
2001 SANTA MONICA BLVD., SUITE 468W, SANTA MONICA, CA 90404
(310) 255-0990
(310) 255-0996
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
CA A112949
CA
Other
Enumeration date
03/05/2011
Last updated
12/07/2012
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