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Eric Soon Chang
Military Health Care Provider in San Diego, California
NPI 1376202648

Eric Soon Chang is a Military Health Care Provider based in San Diego, CA. Eric Soon Chang practices in San Diego, CA. The NPI Number for Eric Soon Chang is 1376202648 and holds a License No. (California).

The current practice location address for Eric Soon Chang is Naval Medical Center San Diego 34800 Bob Wilson Dr, San Diego, CA and can be reached out via phone at 626-378-7233.

Location: Naval Medical Center San Diego 34800 Bob Wilson Dr, San Diego, CA, 92134-5000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376202648
Provider Name
Eric Soon Chang
Credential
Provider Entity Type
Individual
Gender
Male
Address
Naval Medical Center San Diego 34800 Bob Wilson Dr, San Diego, CA, 92134-5000
Phone Number
626-378-7233
Fax Number
Provider Enumeration Date
12/14/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
Naval Medical Center San Diego 34800 Bob Wilson Dr
City
San Diego
State
California
Zip
92134-5524
Phone Number
626-378-7233
Fax Number
person
Provider Business Mailing Address Details
Address
Naval Medical Center San Diego 34800 Bob Wilson Dr
City
San Diego
State
California
Zip
92134-5524
Phone Number
626-378-7233
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
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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