| Pay-jiuan Chang, D.d.d., Inc. | |
|
1045 E. Valley Blvd. A 207 San Gabriel CA 91776 | |
| (626) 288-5985 | |
| (626) 288-8281 |
| Full Name | Pay-jiuan Chang, D.d.d., Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1045 E. Valley Blvd., San Gabriel, California |
| Authorized Official Name and Position | Pay-jiuan Chang (PRESIDENT) |
| Authorized Official Contact | 6262885985 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pay-jiuan Chang, D.d.d., Inc. 1045 E. Valley Blvd. A 207 San Gabriel CA 91776 Ph: (626) 288-5985 | Pay-jiuan Chang, D.d.d., Inc. 1045 E. Valley Blvd. A 207 San Gabriel CA 91776 Ph: (626) 288-5985 |
| NPI Number | 1376951509 |
|---|---|
| Provider Enumeration Date | 07/31/2014 |
| Last Update Date | 07/31/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376951509 | NPI | - | NPPES |
| B37398-01 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 37398 (California) | Primary |
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