Chang, Warren

Chang, Warren is an sole proprietor health care provider with primary practice located at 1498 Southgate Ave Suite 102, Daly City CA 94015-4015. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Chang, Warren can be contacted via phone (650) 755-4492.

Contact Information

Primary practice address
1498 Southgate Ave Suite 102 Daly City CA 94015-4015
Phone: (650) 755-4492
Fax: (650) 755-4466
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X AG9500 California

Profile Details

NPI number 1083674550
LBN Legal business name Chang, Warren
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2006
Last updated Aug 26th, 2019 - about 5 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 1083674550 NPPES
Other 00A695001 BLUE SHIELD
MEDICAID 00A695000 BLUE SHIELD

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