Individual
DR. CHANG YONG TAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3043 FOOTHILL BLVD STE 6, LA CRESCENTA, CA 91214-2771
(818) 541-6733
(818) 541-6723
Mailing address
3043 FOOTHILL BLVD STE 6, LA CRESCENTA, CA 91214-2771
(818) 541-6733
(818) 541-6723
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC26153
CA
Other
Enumeration date
02/22/2011
Last updated
02/22/2011
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