Chang, Tina L.

Chang, Tina L. is an individual health care provider with primary practice located at 170 Alameda De Las Pulgas , Redwood City CA 94062-2751. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Chang, Tina L. can be contacted via phone (650) 367-5659.

Contact Information

Primary practice address
170 Alameda De Las Pulgas Redwood City CA 94062-2751
Phone: (650) 367-5659
Fax: (650) 482-6163
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A72639 California
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X A72639 California

Profile Details

NPI number 1255417770
LBN Legal business name Chang, Tina L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Dec 8th, 2021 - about 3 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 1255417770 NPPES
California MEDICAID 00A726390

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