Chang, Sophie H
Chang, Sophie H is an individual health care provider with primary practice located at 2509 Pico Blvd , Santa Monica CA 90405-1828. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Chang, Sophie H can be contacted via phone (310) 392-8636.Contact Information
Primary practice address
2509 Pico Blvd
Santa Monica CA 90405-1828
Phone: (310) 392-8636
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A055936 | California |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A55936 | California |
Profile Details
NPI number | 1720053978 |
---|---|
LBN Legal business name | Chang, Sophie H |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 21st, 2006 |
Last updated | Aug 23rd, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1720053978 | NPPES |
California | Other | 1720053978 | NPI |
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