Individual
GRACE C CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2121 SANTA MONICA BLVD, SANTA MONICA, CA 90404
(310) 829-5511
Mailing address
2708 WILSHIRE BLVD # 248, SANTA MONICA, CA 90403-4706
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A95514
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
A95514
CA
Other
Enumeration date
06/20/2006
Last updated
01/03/2019
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