Individual
TERRANCE T CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8723 SIERRA COLLEGE BLVD, SUITE 220, ROSEVILLE, CA 95661-5920
(916) 791-0797
(916) 791-1479
Mailing address
4120 DOUGLAS BLVD, # 112, GRANITE BAY, CA 95746-5936
(916) 791-0797
(916) 791-1479
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
G33580
CA
207KA0200X
Allergy Physician
G33580
CA
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
G33580
CA
208000000X
Pediatrics Physician
G33580
CA
2080I0007X
Pediatric Clinical & Laboratory Immunology Physician
G33580
CA
2080P0006X
Developmental - Behavioral Pediatrics Physician
G33580
CA
2080P0201X
Pediatric Allergy/Immunology Physician
G33580
CA
Other
Enumeration date
11/07/2006
Last updated
03/03/2016
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