Individual
RUEY JEN CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
5451 LA PALMA AVE, SUITE 25, LA PALMA, CA 90623-1728
(714) 670-1340
(714) 443-3780
Mailing address
5451 LA PALMA AVE, SUITE 25, LA PALMA, CA 90623-1728
(714) 670-1340
(714) 443-3780
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA20204
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA20204
PHYSICIAN ASSISTANT LICENSE
CA
Enumeration date
04/06/2011
Last updated
04/07/2011
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