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Individual

DR. DAVID C CHANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
307 PLACENTIA AVE., SUITE # 111, NEWPORT BEACH, CA 92663
(949) 722-1112
(949) 631-6356
Mailing address
PO BOX 61117, IRVINE, CA 92602-6037
(949) 722-1112
(949) 631-6356

Taxonomy

Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
A63440
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1013003946
GROUP NPI NUMBER
CA
01
364516869
CORPORATE TAX ID
Enumeration date
01/25/2008
Last updated
10/04/2010
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