Individual
DR. ALVIN CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1101 BRYAN AVE, SUITE E, TUSTIN, CA 92780-4401
(714) 352-5800
(714) 352-5801
Mailing address
1101 BRYAN AVE, SUITE E, TUSTIN, CA 92780-4401
(714) 352-5800
(714) 352-5801
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
A55330
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A553300
—
CA
01
—
1699040170
OCSC GROUP NPI
CA
01
—
DT9847
OCSC GROUP PTAN
CA
01
—
W18492
MEDICARE GRP NUMBER
—
Enumeration date
08/31/2006
Last updated
09/19/2016
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