Individual
GRACE WEI-TING CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 WEBSTER ST STE 516, SAN FRANCISCO, CA 94115-2381
(415) 600-2402
(415) 369-1292
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(415) 600-2402
(415) 369-1292
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA58793
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA58793
STATE MEDICAL LICENSE
CA
Enumeration date
05/31/2019
Last updated
03/09/2022
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