Individual
KATHERINE ALICE CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
831 BERKELEY ST, SANTA MONICA, CA 90403-2305
(310) 559-8276
(310) 559-8263
Mailing address
831 BERKELEY ST, SANTA MONICA, CA 90403-2305
(310) 559-8276
(310) 559-8263
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G53114
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G531140
—
CA
Enumeration date
09/29/2006
Last updated
07/13/2010
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