Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | G080137 | CA |
N | 208600000X | Surgeon | G080137 | CA |
Y | 2082S0105X | Plastic Hand Surgeon | G80137 | CA |
NPI | 1447269626 |
---|---|
Provider Name | Dr. James Chang JR. |
First Address | Palo Alto, CA 94304-1511 |
Second Address | Palo Alto, CA 94304-1207 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2006 |
Last Update Date | 19/12/2013 |