Doctor Name: | TOM S CHANG |
NPI Number: | 1609848969 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | A69909 |
Business Practice Address: | 800 Fairmount Ave Suite 312 Pasadena, CA - 911053154 |
Business Phone Number: | 6265688838 |
Business Fax Number: | 6265838838 |
Mailing Address: | 800 Fairmount Ave, Suite 312 PASADENA |
State: | CA |
Postal Code: | 911053154 |
Phone Number: | 6265688838 |
Fax Number: | 6265838838 |
NPI Enumeration Date: | 02/02/2006 |
NPI Last Update Date: | 02/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | A69909 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |