| Organization Name: | ALBERT S. CHANG D.D.S., INC, |
| NPI Number: | 1023136496 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VICTORIA SALINAS (OFFICE MANAGER) |
| Mailing Address: | 2557 Chino Hills Pkwy Ste. C Chino Hills |
| State: | CA US |
| Postal Code: | 917095103 |
| Phone Number: | 9093937500 |
| Fax Number: | 9093936222 |
| NPI Enumeration Date: | 03/26/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 35858 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |