Organization
ELISA CHANG MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELISA LEE CHANG M.D. (PRESIDENT)
(310) 709-9552
Entity
Organization
Contact information
Practice address
960 E GREEN ST STE 105, PASADENA, CA 91106-2443
(626) 304-0782
(626) 310-0552
Mailing address
PO BOX 1449, BREA, CA 92822-1449
(714) 996-1633
(714) 996-9267
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
A117197
CA
Other
Enumeration date
08/18/2014
Last updated
10/27/2023
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