Edward T Chang, MD
Internal Medicine in Monterey Park, CA. Individual provider (NPI-1).
NPI number1780637199
StatusActive
Last updated in NPPESFeb 3, 2011
Details
- NPI
- 1780637199
- Entity type
- Individual (NPI-1)
- Name
- Mr. Edward T Chang
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 18, 2006
- Last updated
- Feb 3, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | A755780 | CA | Yes |
| 207P00000X | Emergency Medicine | A755780 | CA |
Practice location
111 N Atlantic Blvd Ste 242Monterey Park, CA 91754-1578
Phone 626-318-5099 · Fax 800-960-7130
Mailing address
3445 Tiziano CtStockton, CA 95212-2737
Phone 626-318-5099 · Fax 800-960-7130
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