Individual
DR. ALVIN CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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