PETER Y. CHANG M.D. PH.D. INC. NPI 1265621114

NPI Information

PETER Y. CHANG, M.D., PH.D., INC. is a student in an organized health care education training program in Riverside, CA. The provider is 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. PETER Y. CHANG, M.D., PH.D., INC. NPI is 1265621114. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3975 JACKSON ST
SUITE 102
RIVERSIDE, CA
ZIP 92503-901
Phone: (951) 359-0660

The provider's authorized official is Peter Y. Chang .
The authorized official title is President and has the following contact phone number (951) 359-0660.

The enumeration date for this NPI number is 10/17/2007 and was last updated on 10/17/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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