Individual provider · NPI-1

Dr. Walter Chang, MD

Anesthesiology · Duarte, CA

NPI number1497851919
StatusActive
Last updated in NPPESDec 16, 2020

Details

NPI
1497851919
Entity type
Individual (NPI-1)
Name
Dr. Walter Chang
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Sep 15, 2006
Certification date
Dec 16, 2020
Last updated
Dec 16, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207L00000X AnesthesiologyA90067CAYes

Practice location

1500 E Duarte Rd
Duarte, CA 91010

Phone 626-359-8111

Mailing address

Po Box 512185
Los Angeles, CA 90051-0185

Phone 626-775-3514 · Fax 626-218-5310

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