Individual provider · NPI-1

Anne Lynn Su Chang, MD

Dermatology · Stanford, CA

NPI number1013049188
StatusActive
Last updated in NPPESApr 16, 2024

Details

NPI
1013049188
Entity type
Individual (NPI-1)
Name
Anne Lynn Su Chang
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Mar 12, 2007
Certification date
Apr 16, 2024
Last updated
Apr 16, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207N00000X DermatologyA74696CAYes

Practice location

300 Pasteur Dr
Stanford, CA 94305-2200

Phone 650-723-4000

Mailing address

1804 Embarcadero Rd
Ste 100
Palo Alto, CA 94303-3341

Phone 650-723-6316

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