NPI Provider: 1265621114
Contact Name: Chang Y. Peter
Position: President
Phone: (951) 359-0660
Peter Y. Chang, M.d., Ph.d., Inc. Information:
Peter Y. Chang, M.d., Ph.d., Inc. organization have npi 1265621114, taxonomy code is 390200000X with license number is G42520 in . This Business address located in 3975 Jackson St, Riverside, CA 92503 California.
Practice Location
Address: 3975 Jackson St, Riverside, CA 92503
Phone: (951) 359-0660
Business Location
Address: 3975 Jackson St, Riverside, CA 92503
Phone: (951) 359-0660
Taxonomy
Taxonomy Code: 390200000X
License Number: G42520
License Number of State: CA
Primary Taxonomy Switch: Y
Enumeration Date: 10/17/2007
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