Individual
TIMOTHY JAMES CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10833 LE CONTE AVE, LOS ANGELES, CA 90095-3720
(310) 825-0834
Mailing address
10833 LE CONTE AVE BOX 951668, LOS ANGELES, CA 90095-1668
(310) 825-7478
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
109540
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
109540
CA
Other
Enumeration date
03/09/2023
Last updated
04/02/2026
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