Individual
DR. ALEXANDER TAE-SHIK CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2130 CITRACADO PKWY STE 300, ESCONDIDO, CA 92029-4151
(760) 739-7666
Mailing address
120 CRAVEN RD STE 201, SAN MARCOS, CA 92078-4237
(760) 291-6650
(760) 737-3430
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A123245
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A123245
MEDICAL LICENSE
CA
Enumeration date
04/21/2010
Last updated
02/16/2024
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