Individual
PEN-LAING CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6339 DAYLILY CT, RANCHO CUCAMONGA, CA 91737-3658
(909) 989-3875
Mailing address
6339 DAYLILY CT, RANCHO CUCAMONGA, CA 91737-3658
(909) 989-3875
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
A44876
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3966909
—
NJ
05
—
A44876
—
CA
Enumeration date
06/30/2005
Last updated
05/12/2008
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