Individual
JASON LIN CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
630 W 168TH ST, NEW YORK, NY 10032-3725
(212) 305-8020
Mailing address
4733 W SUNSET BLVD FL 3, LOS ANGELES, CA 90027-6021
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
320232
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
N/A
—
Enumeration date
03/16/2019
Last updated
09/04/2024
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