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Individual

DR. BASIL TZU LI CHANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
4150 V ST, STE 3400, SACRAMENTO, CA 95817-1460
(916) 734-7506
(916) 734-7924
Mailing address
4800 WESTLAKE PKWY, UNIT# 2804, SACRAMENTO, CA 95835-2071
(610) 348-1917

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1249
NV
207R00000X
Internal Medicine Physician
Primary
12686
CA
207R00000X
Internal Medicine Physician
34.012490
OH
208M00000X
Hospitalist Physician
1249
NV
208M00000X
Hospitalist Physician
12686
CA
208M00000X
Hospitalist Physician
O-0638
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100507010
NV
Enumeration date
12/20/2005
Last updated
12/01/2020
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