Ellison Chang in Rancho Cucamonga - Psychiatry
Ellison Chang - NPI 1508906181
Ellison Chang is a Psychiatry in Rancho Cucamonga, California. Ellison Chang practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Ellison Chang is 1508906181. The last update date is 2007-07-08.
Ellison Chang's current location address is 10808 Foothill Blvd, Rancho Cucamonga, California. You can contact this provider via phone number 9513584647. The mailing address for Ellison Chang is 10808 Foothill Blvd, Rancho Cucamonga, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ellison Chang |
|---|---|
| Address | 10808 Foothill Blvd, Rancho Cucamonga, California |
| Phone Number | 9513584647 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1508906181 |
|---|---|
| Provider Enumeration Date | 2007-02-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 10808 Foothill Blvd |
|---|---|
| City | Rancho Cucamonga |
| State | California (CA) |
| Post Code | 917303889 |
| Phone Number | 9513584647 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | G67488 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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What is the unique 10-digit identifier code assigned to Ellison Chang by the Centers for Medicare & Medicaid Services?
The Ellison Chang has been issued the NPI (National Provider Identifier) 1508906181 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Ellison Chang located?
The Ellison Chang is located at 10808 Foothill Blvd, Rancho Cucamonga, CA 917303889.
What is Ellison Chang's specialized field of practice, and what is the corresponding taxonomy classification code?
The Ellison Chang's area of specialization is Psychiatry, and the corresponding taxonomy code that categorizes this field of practice is 2084P0800X.
On what date did Ellison Chang receive its 1508906181 assignment from the Centers for Medicare & Medicaid Services?
The Ellison Chang was assigned its 1508906181 on 2007-02-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Ellison Chang most recently updated or refreshed?
The details pertaining to the Ellison Chang, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.