Individual
IVY CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1145 W REDONDO BEACH BLVD, GARDENA, CA 90247-3511
(310) 538-6629
Mailing address
898 N PACIFIC COAST HWY STE 600, EL SEGUNDO, CA 90245-2747
(310) 698-5452
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A160546
CA
Other
Enumeration date
04/22/2015
Last updated
07/16/2020
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