Individual provider · NPI-1

Dr. John W Chang, M.D.

Physical Medicine & Rehabilitation · Huntington Beach, CA

NPI number1386667889
StatusActive
Last updated in NPPESMay 10, 2013

Details

NPI
1386667889
Entity type
Individual (NPI-1)
Name
Dr. John W Chang
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 25, 2006
Last updated
May 10, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208100000X Physical Medicine & RehabilitationA77448CAYes

Practice location

18351 Beach Blvd
Ste. G
Huntington Beach, CA 92648-1345

Phone 714-847-0010 · Fax 714-847-0017

Mailing address

Po Box 251615
Los Angeles, CA 90025-9243

Phone 310-850-5921 · Fax 310-773-9262

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