Chang, Lyndon

Chang, Lyndon is an sole proprietor health care provider with primary practice located at 4910 Directors Pl Ste 150 , San Diego CA 92121-3801. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Chang, Lyndon can be contacted via phone (855) 360-6730.

Contact Information

Primary practice address
4910 Directors Pl Ste 150 San Diego CA 92121-3801
Phone: (855) 360-6730
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 192851 New York

Profile Details

NPI number 1275593261
LBN Legal business name Chang, Lyndon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 24th, 2006
Last updated Aug 26th, 2015 - about 9 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 1275593261 NPPES
California Other G89081 STATE LICENSE
California Other P2526820 STATE LICENSE
California Other 0297816 STATE LICENSE
California Other 7672216 STATE LICENSE
California Other 000000073002 STATE LICENSE
California Other 2631049 STATE LICENSE
California Other 192851 STATE LICENSE
California Other N97319 STATE LICENSE
California MEDICAID 01586814 STATE LICENSE
California Other 475C41 STATE LICENSE

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