Individual
ALICE CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
801 SOUTH CHEVY CHASE DR., SUITE 201, GLENDALE, CA 91205
(818) 500-5586
(818) 500-5587
Mailing address
801 SOUTH CHEVY CHASE DR., SUITE 201, GLENDALE, CA 91205
(818) 500-5586
(818) 500-5587
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A12187
CA
Other
Enumeration date
03/09/2012
Last updated
03/09/2012
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