Kevin Chihow Chang
Student in an Organized Health Care Education/Training Program in Los Angeles, CA. Individual provider (NPI-1).
NPI number1982306510
StatusActive
Last updated in NPPESMar 20, 2023
Details
- NPI
- 1982306510
- Entity type
- Individual (NPI-1)
- Name
- Kevin Chihow Chang
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 20, 2023
- Certification date
- Mar 19, 2023
- Last updated
- Mar 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1200 N State St Ste A7dLos Angeles, CA 90089-1001
Phone 323-409-7556
Mailing address
1200 N State St Ste A7dLos Angeles, CA 90089-1001
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