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Individual

DR. SIDNEY TAN CHANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 W ARBOR DR, REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN DIEGO, CA 92103-9000
(858) 534-6290
Mailing address
200 W ARBOR DRIVE, REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN DIEGO, CA 92103-1350
(858) 534-6290

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
2008017344
MO
207W00000X
Ophthalmology Physician
Primary
A125489
CA
207W00000X
Ophthalmology Physician
D74915
MD
207W00000X
Ophthalmology Physician
MD-15590
HI

Other

Enumeration date
09/06/2006
Last updated
07/16/2013
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