Chang, Susan S.

Chang, Susan S. is an individual health care provider with primary practice located at 2438 N Ponderosa Dr Suite # C-101, Camarillo CA 93010-2369. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Chang, Susan S. can be contacted via phone (805) 383-9727.

Contact Information

Primary practice address
2438 N Ponderosa Dr Suite # C-101 Camarillo CA 93010-2369
Fax: (805) 764-1076
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X A61663 California

Profile Details

NPI number 1073673273
LBN Legal business name Chang, Susan S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2006
Last updated Jul 10th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073673273 NPPES
California MEDICAID 00A616630

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