Chang, Jae Ki

Chang, Jae Ki is an sole proprietor health care provider with primary practice located at 211 Pueblo Way , Vallejo CA 94591-8220. He recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as his primary health care specialty. Chang, Jae Ki can be contacted via phone (510) 869-6792.

Contact Information

Primary practice address
211 Pueblo Way Vallejo CA 94591-8220
Phone: (510) 869-6792
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 54105 California

Profile Details

NPI number 1831320977
LBN Legal business name Chang, Jae Ki
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 6th, 2009
Last updated Nov 24th, 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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