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Dr. Kenneth G Chang, DO
Student in an Organized Health Care Education/Training Program in Upland, California
NPI 1881181717

Kenneth G Chang is a Student in an Organized Health Care Education/Training Program based in Upland, CA. Kenneth G Chang practices in Upland, CA and has the professional credentials of DO. The NPI Number for Kenneth G Chang is 1881181717 and holds a License No. S9119 (California).

The current practice location address for Kenneth G Chang is 980 E Foothill Blvd Ste 104, Upland, CA and can be reached out via phone at 909-920-3578.

Location: 980 E Foothill Blvd Ste 104, Upland, CA, 91786-4068
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881181717
Provider Name
Kenneth G Chang
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
980 E Foothill Blvd Ste 104, Upland, CA, 91786-4068
Phone Number
909-920-3578
Fax Number
Provider Enumeration Date
04/17/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
980 E Foothill Blvd Ste 104
City
Upland
State
California
Zip
91786-4068
Phone Number
909-920-3578
Fax Number
person
Provider Business Mailing Address Details
Address
980 E Foothill Blvd Ste 104
City
Upland
State
California
Zip
91786-4068
Phone Number
909-920-3578
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
19070 (California)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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.
S9119 (Texas)
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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