Individual
GABRIEL CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2101 N WATERMAN AVE, SAN BERNARDINO, CA 92404-4836
(909) 883-8871
Mailing address
1313 W 8TH ST STE 100, LOS ANGELES, CA 90017-4422
(213) 401-1970
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
58575
CA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
07/23/2020
Last updated
02/01/2022
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