Chang, Alexander Tae-Shik
Chang, Alexander Tae-Shik is an individual health care provider with primary practice located at 2130 Citracado Pkwy Ste 300 , Escondido CA 92029-4151. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Chang, Alexander Tae-Shik can be contacted via phone (760) 739-7666.Contact Information
Primary practice address
2130 Citracado Pkwy Ste 300
Escondido CA 92029-4151
Phone: (760) 739-7666
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | A123245 | California |
Profile Details
| NPI number | 1376860056 |
|---|---|
| LBN Legal business name | Chang, Alexander Tae-Shik |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 21st, 2010 |
| Last updated | Feb 16th, 2024 - about 7 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376860056 | NPPES |
| California | Other | A123245 | MEDICAL LICENSE |
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