Individual
JOSEPH CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4101 EMPIRE DRIVE, SUITE 120, BAKERSFIELD, CA 93309
(661) 325-3934
Mailing address
PO BOX 20831, BAKERSFIELD, CA 93390-0831
(805) 565-5700
(661) 335-7766
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
A65942
CA
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
A29218
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MEDICARE RAILROAD
180040989
CA
05
—
OOA659420
—
CA
Enumeration date
08/16/2006
Last updated
12/23/2020
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