Individual
CRAIG K. CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13652 CANTARA ST, CMO 101, PANORAMA CITY, CA 91402-5423
(818) 375-4100
(818) 375-3668
Mailing address
13652 CANTARA ST, CMO 101, PANORAMA CITY, CA 91402-5423
(818) 375-4100
(818) 375-3668
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A105332
CA
2084N0400X
Neurology Physician
0101239599
VA
Other
Enumeration date
07/07/2006
Last updated
11/29/2021
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