Individual
DENNIS CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1420 S CENTRAL AVE, GLENDALE, CA 91204-2508
(424) 465-2719
Mailing address
1420 S CENTRAL AVE, GLENDALE, CA 91204-2508
(818) 476-6994
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17165
CA
207R00000X
Internal Medicine Physician
20A17165
CA
208M00000X
Hospitalist Physician
20A17165
CA
Other
Enumeration date
03/29/2016
Last updated
03/04/2022
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