Individual
ALVIN CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
255 E BONITA AVE, POMONA, CA 91767-1933
(909) 596-7733
Mailing address
14 CLINTON AVE, SAINT JAMES, NY 11780-1711
(631) 678-8844
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
390200000X
NY
Other
Enumeration date
04/03/2022
Last updated
07/16/2023
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