Organization
JESSE CHANG, M.D. A PROFESSIONAL CORPORATION
Active
Organization
JESSE CHANG, M.D. A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSE CHANG M.D. (PRESIDENT)
(562) 343-0704
Entity
Organization
Contact information
Practice address
3801 KATELLA AVE, #223, LOS ALAMITOS, CA 90720-3338
(562) 626-8016
Mailing address
713 SOUTHSHORE DR, SEAL BEACH, CA 90740-5863
(562) 343-0704
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
A77482
CA
Other
Enumeration date
09/20/2010
Last updated
01/18/2011
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