Individual
DR. JUSTIN KAEEN CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1225 N H ST, LOMPOC, CA 93436-3301
(805) 737-8700
(805) 737-8701
Mailing address
1515 E OCEAN AVE, LOMPOC, CA 93436-7092
(805) 737-3300
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A190521
CA
Other
Enumeration date
04/13/2016
Last updated
10/10/2023
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