Provider Demographics
NPI:1730382318
Name:CHANG, ANGELA AN-CHI (MD)
Entity type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:AN-CHI
Last Name:CHANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 928098
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92192-8098
Mailing Address - Country:US
Mailing Address - Phone:858-909-0770
Mailing Address - Fax:858-909-0880
Practice Address - Street 1:9834 GENESEE AVE
Practice Address - Street 2:SUITE 111
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-1223
Practice Address - Country:US
Practice Address - Phone:858-909-0770
Practice Address - Fax:858-909-0880
Is Sole Proprietor?:No
Enumeration Date:2007-06-08
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA100380207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology