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Contact Information

RUSSELL J CHANG, MD
200 W ARBOR DR
SAN DIEGO, CA92103
 Phone: 858-657-8745
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Reproductive Endocrinology

207VE0102X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for RUSSELL J CHANG · (Male)

NPI Number 1629003389
Status Active
Credentials MD
Entity Individual
Enumeration date 07/11/2006
Last updated 07/09/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • CA License # G20109
  • CA Medicaid 00G201090
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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