Individual
DR. GERALDINE CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
18436 ROSCOE BLVD, NORTHRIDGE, CA 91325-4107
(818) 435-1400
Mailing address
4100 GUARDIAN ST STE 205, SIMI VALLEY, CA 93063-6721
(855) 504-4544
(805) 577-2018
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A122612
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831486539
—
CA
Enumeration date
06/30/2011
Last updated
12/05/2017
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