| Organization Name: | PETER Y. CHANG, M.D., PH.D., INC. |
| NPI Number: | 1265621114 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PETER Y. CHANG (PRESIDENT) |
| Mailing Address: | 3975 Jackson St Suite 102 Riverside |
| State: | CA US |
| Postal Code: | 925033901 |
| Phone Number: | 9513590660 |
| Fax Number: | |
| NPI Enumeration Date: | 10/17/2007 |
| NPI Last Update Date: | 10/17/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | G42520 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |