| Dr Richard C Chang, MD | |
|
16465 Sierra Parkway, # 245, Fontana, CA 92236 | |
| (909) 829-7337 | |
| (909) 829-1218 |
| Full Name | Dr Richard C Chang |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 16465 Sierra Parkway, Fontana, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831195882 | NPI | - | NPPES |
| 760530251 | Other | TX | TAX ID |
| 8G2996 | Other | TX | BLUE CROSS & BLUE SHIELD |
| 160280701 | Medicaid | TX | |
| A86339 | Other | CA | CALIFORNIA MEDICAL LICENSE |
| L0074 | Other | TX | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | A86339 (California) | Primary |
| 208000000X | Pediatrics | L0074 (Texas) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard C Chang, MD 16465 Sierra Lakes Pkwy Ste 245, Fontana, CA 92336 Ph: (909) 829-7337 | Dr Richard C Chang, MD 16465 Sierra Parkway, # 245, Fontana, CA 92236 Ph: (909) 829-7337 |
Mr. James David Killeen Iii, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Kaiser Permanente Fontana - Pediatrics, Fontana, CA 92335 Phone: 909-427-6960 | |
Ramandeep Kaur, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 16465 Sierra Lakes Pkwy Ste 115, Fontana, CA 92336 Phone: 909-823-8000 Fax: 909-823-8088 | |
Leslie Sison Aquino-peralta, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
Connie Lew Cheng, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
Miss Irene H Odom, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-5451 | |
Mrs. Emma Claire Boda, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 16465 Sierra Lakes Pkwy Ste 115, Fontana, CA 92336 Phone: 909-823-8000 Fax: 909-823-8088 | |
Eric Mun-kong Wong, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 |