Organization
GRACE C CHANG MEDICAL DOCTOR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE C CHANG MD (SOLE OWNER)
(415) 971-8788
Entity
Organization
Contact information
Practice address
2080 CENTURY PARK E STE 1111, LOS ANGELES, CA 90067-2029
(310) 842-4811
Mailing address
PO BOX 7001, TARZANA, CA 91357-7001
(818) 888-7815
(818) 715-1722
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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