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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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