Individual
BIANCA W CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048
(818) 634-3603
Mailing address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
036.140821
IL
207RG0100X
Gastroenterology Physician
Primary
A135294
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2013
Last updated
06/27/2019
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