Chang, Geraldine
Chang, Geraldine is an individual health care provider with primary practice located at 18436 Roscoe Blvd , Northridge CA 91325-4107. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Chang, Geraldine can be contacted via phone (818) 435-1400.Contact Information
Primary practice address
18436 Roscoe Blvd
Northridge CA 91325-4107
Phone: (818) 435-1400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | A122612 | California |
Profile Details
| NPI number | 1831486539 |
|---|---|
| LBN Legal business name | Chang, Geraldine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2011 |
| Last updated | Dec 5th, 2017 - about 7 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 | 1831486539 | NPPES |
| California | MEDICAID | 1831486539 |
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