| Kenneth H Chang Md A Medical Corp | |
|
728 Pacific Ave Suite 402 San Francisco CA 94133-4457 | |
| (415) 421-4525 | |
| (415) 421-4527 |
| Full Name | Kenneth H Chang Md A Medical Corp |
|---|---|
| Speciality | Internal Medicine |
| Location | 728 Pacific Ave, San Francisco, California |
| Authorized Official Name and Position | Kenneth H Chang (OWNER) |
| Authorized Official Contact | 4154214525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth H Chang Md A Medical Corp 728 Pacific Ave Suite 402 San Francisco CA 94133-4457 Ph: (415) 421-4525 | Kenneth H Chang Md A Medical Corp 728 Pacific Ave Suite 402 San Francisco CA 94133-4457 Ph: (415) 421-4525 |
| NPI Number | 1447530076 |
|---|---|
| Provider Enumeration Date | 08/26/2011 |
| Last Update Date | 10/26/2016 |
| Medicare PECOS PAC ID | 0648442467 |
|---|---|
| Medicare Enrollment ID | O20111020000040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447530076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A55424 (California) | Primary |
| Provider Name | Kenneth H Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609832724 PECOS PAC ID: 2365614187 Enrollment ID: I20111020000058 |
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