Chang, Lyndon
Chang, Lyndon is an sole proprietor health care provider with primary practice located at 4910 Directors Pl Ste 150 , San Diego CA 92121-3801. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Chang, Lyndon can be contacted via phone (855) 360-6730.Contact Information
Primary practice address
4910 Directors Pl Ste 150
San Diego CA 92121-3801
Phone: (855) 360-6730
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 192851 | New York |
Profile Details
| NPI number | 1275593261 |
|---|---|
| LBN Legal business name | Chang, Lyndon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Aug 26th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275593261 | NPPES |
| California | Other | G89081 | STATE LICENSE |
| California | Other | P2526820 | STATE LICENSE |
| California | Other | 0297816 | STATE LICENSE |
| California | Other | 7672216 | STATE LICENSE |
| California | Other | 000000073002 | STATE LICENSE |
| California | Other | 2631049 | STATE LICENSE |
| California | Other | 192851 | STATE LICENSE |
| California | Other | N97319 | STATE LICENSE |
| California | MEDICAID | 01586814 | STATE LICENSE |
| California | Other | 475C41 | STATE LICENSE |
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