Organization
WUN-LING CHANG, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WUN-LING CHANG M.D. (PRESIDENT)
(858) 202-1736
Entity
Organization
Contact information
Practice address
9888 GENESEE AVE, LA JOLLA, CA 92037-1205
(858) 202-1736
(858) 202-1796
Mailing address
3525 DEL MAR HEIGHTS RD # 453, SAN DIEGO, CA 92130-2122
(858) 202-1736
(858) 202-1796
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
G86459
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G864590
BLUE SHIELD
CA
05
—
00G864590
—
CA
Enumeration date
08/02/2006
Last updated
04/25/2008
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