Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | A140305 | CA |
N | 207RP1001X | Pulmonary Disease | A140305 | CA |
NPI | 1003236688 |
---|---|
Provider Name | William Yow Jung Chang |
First Address | Monterey Park, CA 91754-1242 |
Second Address | Monterey Park, CA 91754-1242 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/04/2014 |
Last Update Date | 18/08/2021 |