Elbert Kc Chang MD

NPI 1053417808 - Internal Medicine - 207RP1001X

NPI Details
NPI 1053417808
Gender Male
Enumeration Date 09/16/2006
Last Updated 04/22/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
9655 MONTE VISTA AVE
#402
MONTCLAIR CA, 91763-2238, US
Phone (909) 626-1205
Fax (909) 625-1977
Business Location
9655 MONTE VISTA AVE
#402
MONTCLAIR CA, 91763-2238, US
Phone (909) 626-1205
Fax (909) 625-1977
Toxanomy
Taxonomy Code 207RP1001X
License State California
License Number A89864
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According to our database, Elbert Kc Chang MD NPI is 1053417808, taxonomy code is 207RP1001X and license number is A89864, license state is located at California. Elbert Kc Chang MD physically located at 9655 Monte Vista Ave, Montclair CA, 91763-2238. NPI Number Elbert Kc Chang MD has the Individual type.

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1053417808 NPI number is provided on an as is basis without warranty of any kind. 1053417808 is maintained by the National Plan & Provider Enumeration System. The contents of Elbert Kc Chang MD are for informational purposes only.