Individual
DR. KU-JUEY RAYMOND CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
23331 EL TORO RD, SUITE 102, LAKE FOREST, CA 92630-4891
(949) 916-9100
(949) 916-0091
Mailing address
PO BOX 511345, LOS ANGELES, CA 90051-7900
(916) 949-9100
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
G181497
CA
207RN0300X
Nephrology Physician
G181497
CA
Other
Enumeration date
06/01/2006
Last updated
12/02/2015
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