Individual provider · NPI-1

Seung Chang, M.D.

Family Medicine · Walnut, CA

NPI number1073603460
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1073603460
Entity type
Individual (NPI-1)
Name
Seung Chang
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 13, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineA350670CAYes

Practice location

19687 Valley Blvd
Walnut, CA 91789-2146

Phone 909-598-5228 · Fax 909-598-9021

Mailing address

19687 Valley Blvd
Walnut, CA 91789-2146

Phone 909-598-5228 · Fax 909-598-9021

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