Dr David Sea Jong Chang, MD | |
91275 66th Street, Suite 500, Mecca, CA 92254 | |
(760) 396-1249 | |
(760) 396-1253 |
Full Name | Dr David Sea Jong Chang |
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Gender | Male |
Speciality | Family Medicine |
Location | 91275 66th Street, Mecca, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740849066 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | A179367 (California) | Primary |
Entity Name | Clinicas De Salud Del Pueblo Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346313889 PECOS PAC ID: 5496657082 Enrollment ID: O20071201000158 |
Mailing Address | Practice Location Address |
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Dr David Sea Jong Chang, MD 852 E Danenberg Dr, El Centro, CA 92243-8517 Ph: (760) 344-9951 | Dr David Sea Jong Chang, MD 91275 66th Street, Suite 500, Mecca, CA 92254 Ph: (760) 396-1249 |
Manika Pandey, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 91275 66th Ave, 500, Mecca, CA 92254 Phone: 760-396-1249 | |
Dr. Vance Laidlaw Fletcher, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 91275 66th Ave, Mecca, CA 92254 Phone: 760-396-1249 Fax: 760-396-1253 | |
Hussein Hijazi, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 91275 66th Ave, Suite 500, Mecca, CA 92254 Phone: 760-396-1249 Fax: 760-396-1253 | |
Valentin Nuzhny, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 91275 66th Ave, Suite 500, Mecca, CA 92254 Phone: 760-393-1249 Fax: 760-393-1253 |