Chang, Nancy W

Chang, Nancy W is an individual health care provider with primary practice located at 2930 2Nd Ave #200, Marina CA 93933-6244. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Chang, Nancy W can be contacted via phone (831) 582-2100.

Contact Information

Primary practice address
2930 2Nd Ave #200 Marina CA 93933-6244
Fax: (831) 886-1529
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A62665 California

Profile Details

NPI number 1336157478
LBN Legal business name Chang, Nancy W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Sep 19th, 2012 - about 12 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 1336157478 NPPES
California MEDICAID 00A626650

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