Individual
DR. IRENE S CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
765 MEDICAL CENTER CT, SUITE 210, CHULA VISTA, CA 91911-6600
(619) 482-3090
(619) 482-7350
Mailing address
3860 CALLE FORTUNADA, SUITE 200, SAN DIEGO, CA 92123-4800
(858) 636-4300
(858) 636-4319
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A73533
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A73533
MD LICENSE
CA
Enumeration date
01/28/2006
Last updated
02/01/2011
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