Chang, Teresa J.
Chang, Teresa J. is an individual health care provider with primary practice located at 90 Via Juana Rd , Santa Ynez CA 93460-9679. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Chang, Teresa J. can be contacted via phone (805) 688-7070.Contact Information
Primary practice address
90 Via Juana Rd
Santa Ynez CA 93460-9679
Phone: (805) 688-7070
Fax: (805) 686-2060
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 221112 | New York |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | C167310 | California |
Profile Details
| NPI number | 1073572426 |
|---|---|
| LBN Legal business name | Chang, Teresa J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2006 |
| Last updated | Dec 19th, 2024 - about 2 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 | 1073572426 | NPPES |
| New York | MEDICAID | 2338530 | |
| New York | Other | P00032095 |
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