Individual
TONY LI-WEI CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1255 LIBERTY STREET, REDDING, CA 96001-0814
(530) 246-2467
(530) 242-9460
Mailing address
PO BOX 991950, REDDING, CA 96099-1950
(530) 246-2467
(530) 242-9460
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
A100732
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871784678
—
CA
Enumeration date
08/06/2007
Last updated
10/09/2013
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