Individual
JAE C CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
UCI MEDICAL CENTER, 101 THE CITY DRIVE SOUTH, ORANGE, CA 92868
(714) 456-8978
Mailing address
UCI DEPARTMENT OF MEDICINE, PO BOX 54509, LOS ANGELES, CA 90054-4509
(714) 456-6369
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
000000C50995
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00036276
RR MEDICARE
CA
Enumeration date
10/16/2006
Last updated
04/12/2008
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