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Dr. Peter Y Chang, MD
Student in an Organized Health Care Education/Training Program in Riverside, California
NPI 1184667560

Peter Y Chang is a Student in an Organized Health Care Education/Training Program based in Riverside, CA. Peter Y Chang practices in Riverside, CA and has the professional credentials of MD. The NPI Number for Peter Y Chang is 1184667560 and holds a License No. G42520 (California).

The current practice location address for Peter Y Chang is 3975 Jackson St, Riverside, CA and can be reached out via phone at 951-359-0660 and via fax at 951-359-0897.

Location: 3975 Jackson St, Riverside, CA, 92503-3938
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184667560
Provider Name
Peter Y Chang
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3975 Jackson St, Riverside, CA, 92503-3938
Phone Number
951-359-0660
Fax Number
951-359-0897
Provider Enumeration Date
06/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OOG425200 05 CA
institution
Provider Business Practice Location Address Details
Address
3975 Jackson St
City
Riverside
State
California
Zip
92503-3938
Phone Number
951-359-0660
Fax Number
951-359-0897
person
Provider Business Mailing Address Details
Address
3975 Jackson St
City
Riverside
State
California
Zip
92503-3938
Phone Number
951-359-0660
Fax Number
951-359-0897
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
G42520 (California)
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.
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