Individual
ALEXANDER CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1798 N GAREY AVE, POMONA, CA 91767-2918
(909) 865-9140
Mailing address
PO BOX 148, CLAREMONT, CA 91711-0148
(909) 985-2112
(909) 985-3411
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A34517
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A345170
—
CA
Enumeration date
07/12/2006
Last updated
11/03/2009
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