Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | CA45097 | CA |
NPI | 1255543948 |
---|---|
Provider Name | Dr. Ting-Ling Chang |
First Address | Los Angeles, CA 90095-1668 |
Second Address | Los Angeles, CA 90095-1668 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2007 |
Last Update Date | 08/07/2007 |