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Organization

KATHERINE CHANG, M.D.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KATHERINE A. CHANG M.D. (OWNER)
(310) 440-3131
Entity
Organization

Contact information

Practice address
2121 WILSHIRE BLVD, STE. 201, SANTA MONICA, CA 90403-5720
(310) 319-8592
Mailing address
11999 SAN VICENTE BLVD, STE. 440, LOS ANGELES, CA 90049-5131
(310) 440-3131

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G53114

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G531140
CA
Enumeration date
10/27/2006
Last updated
06/09/2008
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