Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | A151725 | CA |
NPI | 1003132671 |
---|---|
Provider Name | Christine Chang |
First Address | Emeryville, CA 94608-1844 |
Second Address | Oxnard, CA 93030-3722 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2010 |
Last Update Date | 18/08/2020 |