Individual
DR. CHRISTINE M CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4165 BLACKHAWK PLAZA CIR, #265, DANVILLE, CA 94506-4904
(925) 648-7140
(925) 648-0878
Mailing address
DEPT 34929, P.O. BOX 39000, SAN FRANCISCO, CA 94139-0001
(925) 952-2828
(925) 952-2850
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G77503
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G77503
CA LICENSE
CA
01
—
P01090342
RAILROAD MEDICARE
CA
Enumeration date
08/17/2006
Last updated
12/28/2012
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