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Contact Information

RICHARD C CHANG, MD
16465 SIERRA PARKWAY
# 245
FONTANA, CA92236
 Phone: 909-829-7337
 Fax: 909-829-1218
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for RICHARD C CHANG · (Male)

NPI Number 1831195882
Status Active
Credentials MD
Entity Individual
Enumeration date 06/23/2005
Last updated 11/20/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A86339
  • TX License # L0074
  • TX Medicaid 160280701
  • CA Other A86339 CALIFORNIA MEDICAL LICENSE
  • TX Other 8G2996 BLUE CROSS & BLUE SHIELD
  • TX Other L0074 MEDICAL LICENSE
  • TX Other 760530251 TAX ID
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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