Individual
BONG S CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3671 W 6TH ST, LOS ANGELES, CA 90020-3026
(213) 383-8496
(213) 365-9155
Mailing address
3671 W 6TH ST, LOS ANGELES, CA 90020
(213) 383-8496
(213) 365-9133
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A341580
CA
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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