Chang, Alvin

Chang, Alvin is an individual health care provider with primary practice located at 1101 Bryan Ave Suite E, Tustin CA 92780-4401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Chang, Alvin can be contacted via phone (714) 352-5800.

Contact Information

Primary practice address
1101 Bryan Ave Suite E Tustin CA 92780-4401
Phone: (714) 352-5800
Fax: (714) 352-5801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X A55330 California

Profile Details

NPI number 1396857181
LBN Legal business name Chang, Alvin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Sep 19th, 2016 - about 8 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396857181 NPPES
Other W18492 MEDICARE GRP NUMBER
MEDICAID 00A553300 MEDICARE GRP NUMBER
Other 1699040170 MEDICARE GRP NUMBER
Other DT9847 MEDICARE GRP NUMBER

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