Individual
DR. DOUGLAS G CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(858) 249-6748
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
A77281
CA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A77281
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A772810
—
CA
Enumeration date
05/04/2006
Last updated
08/30/2017
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