Individual
JESSE L. CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3851 KATELLA AVE, SUITE 315, LOS ALAMITOS, CA 90720-3338
(562) 626-8016
(562) 626-8017
Mailing address
PO BOX 5640, LOS ALAMITOS, CA 90721-5640
(562) 626-8016
(562) 626-8017
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A77482
CA
207RP1001X
Pulmonary Disease Physician
Primary
A77482
CA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
A77482
CA
Other
Enumeration date
06/06/2006
Last updated
07/29/2014
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