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Organization

ALBERT J CHANG, MD INC

Active
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Organization

ALBERT J CHANG, MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MARY E LAMOUREUX (ADMINISTRATOR)
(909) 796-7803
Entity
Organization

Contact information

Practice address
10408 INDUSTRIAL CIR, REDLANDS, CA 92374-4548
(909) 796-0363
(909) 796-0762
Mailing address
10408 INDUSTRIAL CIR, REDLANDS, CA 92374-4548
(909) 796-0363
(909) 796-0762

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A78996
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A789960
CA
01
1790984805
PERSONAL NPI
Enumeration date
08/30/2007
Last updated
08/23/2011
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