Individual
ROGER CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2501 E CHAPMAN AVE, ORANGE, CA 92869
(714) 771-8000
Mailing address
2501 E CHAPMAN AVE, ORANGE, CA 92869-3204
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
A81984
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912919804
NPI - TYPE 2
—
01
—
CG5665
RAIL ROAD MEDICARE - GROUP PTAN
CA
01
—
P00244225
RAIL ROAD MEDICARE - PROVIDER PTAN
CA
01
—
W1514
MEDICARE PTAN - TYPE 2
CA
Enumeration date
03/16/2006
Last updated
10/21/2020
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