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Dr. Lyndon Chang, MD
Specialist in San Diego, California
NPI 1275593261

Lyndon Chang is a Specialist based in San Diego, CA. Lyndon Chang practices in San Diego, CA and has the professional credentials of MD. The NPI Number for Lyndon Chang is 1275593261 and holds a License No. 192851 (California).

The current practice location address for Lyndon Chang is 4910 Directors Pl Ste 150, San Diego, CA and can be reached out via phone at 855-360-6730.

Location: 4910 Directors Pl Ste 150, San Diego, CA, 92121-3801
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Provider Profile Details
NPI Number
1275593261
Provider Name
Lyndon Chang
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4910 Directors Pl Ste 150, San Diego, CA, 92121-3801
Phone Number
855-360-6730
Fax Number
Provider Enumeration Date
03/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G89081 01 CA STATE LICENSE
P2526820 01 NY OXFORD ID #
0297816 01 NY GHI PPO ID #
7672216 01 NY AETNA PPO ID #
000000073002 01 NY GHI HMO ID #
2631049 01 NY AETNA HMO ID #
192851 01 NY HIP ID #
N97319 01 NY HEALTHNET #
01586814 05 NY
475C41 01 NY EMPIRE BC/BS OF NY ID #
institution
Provider Business Practice Location Address Details
Address
4910 Directors Pl Ste 150
City
State
Zip
92121-3801
Phone Number
855-360-6730
Fax Number
person
Provider Business Mailing Address Details
Address
4910 Directors Pl Ste 150
City
State
Zip
92121-3801
Phone Number
855-360-6730
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
192851 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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