| Dr Eileen Chang Family Practice PLLC | |
|
1455 W Chandler Blvd Ste 4 Chandler AZ 85224-6177 | |
| (480) 674-4100 | |
| Not Available |
| Full Name | Dr Eileen Chang Family Practice PLLC |
|---|---|
| Speciality | Family Medicine |
| Location | 1455 W Chandler Blvd Ste 4, Chandler, Arizona |
| Authorized Official Name and Position | Eileen Chang (PHYSICIAN / OWNER) |
| Authorized Official Contact | 4806744100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Eileen Chang Family Practice PLLC 1455 W Chandler Blvd Ste A4 Chandler AZ 85224-6197 | Dr Eileen Chang Family Practice PLLC 1455 W Chandler Blvd Ste 4 Chandler AZ 85224-6177 Ph: (480) 674-4100 |
| NPI Number | 1063278851 |
|---|---|
| Provider Enumeration Date | 02/28/2024 |
| Last Update Date | 03/18/2024 |
| Certification Date | 03/18/2024 |
| Medicare PECOS PAC ID | 7416397716 |
|---|---|
| Medicare Enrollment ID | O20240503001295 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063278851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| Provider Name | Eileen Chang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063529196 PECOS PAC ID: 3678461647 Enrollment ID: I20070809000737 |
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