Individual
TIMOTHY W CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9850 GENESEE AVE STE 850, LA JOLLA, CA 92037-1233
(858) 657-0267
(858) 657-9485
Mailing address
9850 GENESEE AVE STE 850, LA JOLLA, CA 92037-1233
(858) 657-0267
(858) 657-9485
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
A142954
CA
Other
Enumeration date
06/29/2012
Last updated
04/18/2019
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