Individual
ANITA BACKUS CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3388 IVAN WAY, MOUNTAIN VIEW, CA 94040-4535
(408) 458-0000
Mailing address
3388 IVAN WAY, MOUNTAIN VIEW, CA 94040-4535
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A46665
CA
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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