Peter Y Chang in Riverside - Student In An Organized Health Care Education/training Program

Peter Y Chang - NPI 1184667560

Peter Y Chang is a Student In An Organized Health Care Education/training Program in Riverside, California. Peter Y Chang practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for Peter Y Chang is 1184667560. The last update date is 2007-07-08.

Peter Y Chang's current location address is 3975 Jackson St, Riverside, California. You can contact this provider via phone number 9513590660 and fax number 9513590897. The mailing address for Peter Y Chang is 3975 Jackson St, Riverside, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Peter Y Chang
Address 3975 Jackson St, Riverside, California
Phone Number 9513590660
Fax Number 9513590897
Sole Proprietor X
Credentials MD

NPI Number Detail

NPI Number 1184667560
Provider Enumeration Date 2006-06-14
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3975 Jackson St
City Riverside
State California (CA)
Post Code 925033938
Phone Number 9513590660
Fax Number 9513590897

Provider's Primary Taxonomy Detail

Speciality Student In An Organized Health Care Education/training Program
Taxonomy 390200000X
Licence No G42520
Definition:
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
OOG425200 CA --

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FAQs about Peter Y Chang

What is the unique 10-digit identifier code issued to Peter Y Chang by the Centers for Medicare & Medicaid Services?

The Peter Y Chang has been assigned the NPI (National Provider Identifier) 1184667560 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Peter Y Chang?

The Peter Y Chang is physically situated at 3975 Jackson St, in the city of Riverside, state of CA, with the postal code 925033938.

What is the Peter Y Chang's area of specialization and corresponding taxonomy classification?

The Peter Y Chang's specialty field is Student In An Organized Health Care Education/training Program, and it falls under the taxonomy code 390200000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1184667560 to Peter Y Chang?

The Centers for Medicare & Medicaid Services assigned the 1184667560 to Peter Y Chang on 2006-06-14.

When was the information pertaining to Peter Y Chang most recently updated or revised?

The details related to Peter Y Chang, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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