Individual
ELLEN CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A148550
CA
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
35.143074
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2013
Last updated
08/16/2021
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