Chang, Vivian Yoo Jung
Chang, Vivian Yoo Jung is an individual health care provider with primary practice located at 10833 Le Conte Ave Mdcc A2-312, Los Angeles CA 90095-3075. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as her primary health care specialty. Chang, Vivian Yoo Jung can be contacted via phone (310) 825-6708.Contact Information
Primary practice address
10833 Le Conte Ave Mdcc A2-312
Los Angeles CA 90095-3075
Phone: (310) 825-6708
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | A106785 | California |
Profile Details
| NPI number | 1255595229 |
|---|---|
| LBN Legal business name | Chang, Vivian Yoo Jung |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2008 |
| Last updated | Apr 3rd, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255595229 | NPPES |
| California | MEDICAID | 00A1067850 |
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