Chang, Jill
Chang, Jill is an individual health care provider with primary practice located at 5717 Pacific Center Blvd Ste 200 , San Diego CA 92121-4250. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Chang, Jill can be contacted via phone (858) 859-1188.Contact Information
Primary practice address
5717 Pacific Center Blvd Ste 200
San Diego CA 92121-4250
Phone: (858) 859-1188
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA17949 | California |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA17949 | California |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA17949 | California |
Profile Details
NPI number | 1114112786 |
---|---|
LBN Legal business name | Chang, Jill |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 7th, 2007 |
Last updated | May 10th, 2019 - about 6 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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