Chang, Dennis

Chang, Dennis is an individual health care provider with primary practice located at 11370 Anderson St Ste.2100, Loma Linda CA 92354-3450. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Chang, Dennis can be contacted via phone (909) 558-2822.

Contact Information

Primary practice address
11370 Anderson St Ste.2100 Loma Linda CA 92354-3450
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X A80896 California

Profile Details

NPI number 1578773628
LBN Legal business name Chang, Dennis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Dec 8th, 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 1578773628 NPPES
California MEDICAID 00A808960

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