| Bayard W. Chang, Md, Inc | |
|
500 University Ave Ste 111 Sacramento CA 95825-6504 | |
| (916) 929-2526 | |
| (916) 929-6128 |
| Full Name | Bayard W. Chang, Md, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 500 University Ave Ste 111, Sacramento, California |
| Authorized Official Name and Position | Bayard Won Chang (PRESIDENT) |
| Authorized Official Contact | 9169292526 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayard W. Chang, Md, Inc 500 University Ave Suite 111 Sacramento CA 95825-6504 Ph: (916) 929-2526 | Bayard W. Chang, Md, Inc 500 University Ave Ste 111 Sacramento CA 95825-6504 Ph: (916) 929-2526 |
| NPI Number | 1619062973 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 01/25/2008 |
| Medicare PECOS PAC ID | 5496770836 |
|---|---|
| Medicare Enrollment ID | O20051013001040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619062973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | G064347 (California) | Primary |
| Provider Name | Bayard Won Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104816255 PECOS PAC ID: 8123043569 Enrollment ID: I20051014000811 |
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