Chang, Richard C

Chang, Richard C is an individual health care provider with primary practice located at 16465 Sierra Parkway # 245, Fontana CA 92236. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Chang, Richard C can be contacted via phone (909) 829-7337.

Contact Information

Primary practice address
16465 Sierra Parkway # 245 Fontana CA 92236
Phone: (909) 829-7337
Fax: (909) 829-1218
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A86339 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X L0074 Texas

Profile Details

NPI number 1831195882
LBN Legal business name Chang, Richard C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Nov 20th, 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 1831195882 NPPES
Texas Other 760530251 TAX ID
Texas Other 8G2996 TAX ID
Texas MEDICAID 160280701 TAX ID
Texas Other A86339 TAX ID
Texas Other L0074 TAX ID

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