Chang, Han Kyo K

Chang, Han Kyo K is an sole proprietor health care provider with primary practice located at 1434 Stanley Dollar Dr Unit 3B, Walnut Creek CA 94595. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Chang, Han Kyo K can be contacted via phone (716) 418-4665.

Contact Information

Primary practice address
1434 Stanley Dollar Dr Unit 3B Walnut Creek CA 94595
Phone: (716) 418-4665
Fax: (925) 954-8696
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 125005 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X C138034 California

Profile Details

NPI number 1235127150
LBN Legal business name Chang, Han Kyo K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2005
Last updated Nov 30th, 2022 - about 2 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 1235127150 NPPES
New York Other 5071127 COMM BLUE/BC
New York Other 00010028501 COMM BLUE/BC
New York Other 0400458 COMM BLUE/BC
New York MEDICAID 00602837 COMM BLUE/BC

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