Individual provider · NPI-1

Dr. Ker-Chow Chang, M.D.

Family Medicine · La Habra, CA

NPI number1346333648
StatusActive
Last updated in NPPESApr 15, 2018

Details

NPI
1346333648
Entity type
Individual (NPI-1)
Name
Dr. Ker-Chow Chang
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 2, 2006
Last updated
Apr 15, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineA48893CAYes

Practice location

1480 S Harbor Blvd Ste 1
La Habra, CA 90631-7506

Phone 714-255-1148

Mailing address

2707 E Valley Blvd Ste 103
West Covina, CA 91792-3196

Phone 626-810-7772

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