Chang, Edward T
Chang, Edward T is an individual health care provider with primary practice located at 111 N Atlantic Blvd Ste 242 , Monterey Park CA 91754-1578. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Chang, Edward T can be contacted via phone (626) 318-5099.Contact Information
Primary practice address
111 N Atlantic Blvd Ste 242
Monterey Park CA 91754-1578
Phone: (626) 318-5099
Fax: (800) 960-7130
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | A755780 | California |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A755780 | California |
Profile Details
| NPI number | 1780637199 |
|---|---|
| LBN Legal business name | Chang, Edward T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Feb 3rd, 2011 - about 13 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 | 1780637199 | NPPES |
| California | MEDICAID | 00A755780 |
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