Individual
SHELLEY CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1441 EASTLAKE AVENUE NTT 2424, LOS ANGELES, CA 90089-5313
(323) 442-2582
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-2582
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
Primary
A126072
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2011
Last updated
11/22/2022
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