Individual
JIMMY CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 558-6202
Mailing address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20A20333
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
20A20333
CA
Other
Enumeration date
03/23/2019
Last updated
05/07/2024
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