Chang, Catherine Kyonga

Chang, Catherine Kyonga is an individual health care provider with primary practice located at 4647 Zion Ave , San Diego CA 92120-2507. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is her primary health care specialty. Chang, Catherine Kyonga can be contacted via phone (619) 528-7931.

Contact Information

Primary practice address
4647 Zion Ave San Diego CA 92120-2507
Phone: (619) 528-7931
Fax: (319) 528-3777
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X A79317 California
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X ME107331 Florida
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X A79317 California

Profile Details

NPI number 1750410262
LBN Legal business name Chang, Catherine Kyonga
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2007
Last updated Dec 2nd, 2021 - about 3 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 1750410262 NPPES
Florida MEDICAID 0024500400

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