Individual
MR. RAYMOND J. CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4307 FOXFORD WAY, DUBLIN, CA 94568-7819
(949) 422-8170
(949) 422-8171
Mailing address
4307 FOXFORD WAY, DUBLIN, CA 94568-7819
(949) 422-8170
(949) 422-8171
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G72078
CA
207R00000X
Internal Medicine Physician
G72078
CA
207RC0000X
Cardiovascular Disease Physician
33-0966615
CA
207RC0000X
Cardiovascular Disease Physician
Primary
G72078
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G720780
—
CA
Enumeration date
06/14/2006
Last updated
02/11/2022
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