| David Chang, MD | |
|
350 Terracina Blvd, Redlands, CA 92373-4850 | |
| (909) 335-5600 | |
| (909) 335-6490 |
| Full Name | David Chang |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 350 Terracina Blvd, Redlands, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972515252 | NPI | - | NPPES |
| 00A871630 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | A87163 (California) | Primary |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
| Mailing Address | Practice Location Address |
|---|---|
| David Chang, MD 2100 Powell St, Suite 900, Emeryville, CA 94608-1826 Ph: (510) 350-2600 | David Chang, MD 350 Terracina Blvd, Redlands, CA 92373-4850 Ph: (909) 335-5600 |
Gordon D Phillips, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 W Fern Ave, Redlands, CA 92373 Phone: 909-793-3311 Fax: 909-793-2916 | |
Jonathan A E Bolton, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 245 Terracina Blvd Ste 102, Redlands, CA 92373 Phone: 909-335-4188 | |
Pha C Le, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1260 Magnolia Ave, Redlands, CA 92373 Phone: 714-566-5235 | |
Michael Patrick Allen, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 Terracina Blvd, Redlands, CA 92373 Phone: 909-335-5500 | |
James Wilson, M.D Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 350 Terracina Blvd, Redlands, CA 92373 Phone: 909-335-5500 | |
Salomon Humberto Alvarado, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 350 Terracina Blvd, Redlands, CA 92373 Phone: 909-335-5500 | |
Phong Ky Nguyen, M.D Emergency Medicine Medicare: Medicare Enrolled Practice Location: 350 Terracina Blvd, Redlands, CA 92373 Phone: 909-335-5500 |