Organization
LA SIERRA UNIVERSITY HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SYLVIA TAN CHANG PHD (DIRECTOR)
(951) 785-2200
Entity
Organization
Contact information
Practice address
4500 RIVERWALK PKWY, RIVERSIDE, CA 92505-3344
(951) 785-2200
(951) 785-2263
Mailing address
4500 RIVERWALK PKWY, RIVERSIDE, CA 92505-3344
(951) 785-2200
(951) 785-2263
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AF6193128
CA
Other
Enumeration date
10/31/2006
Last updated
08/22/2020
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