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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750410262 | NPPES |
| Florida | MEDICAID | 0024500400 |
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