| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ALLEN CHANG | 1588976567 | 2022-10-01 |
Allen Chang is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1588976567. Registration indicates Allen Chang is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Emergency Medicine (Emergency Medicine: Emergency Medical Services, ) (All Other Specialties & Provider Types, ) (Emergency Medicine Emergency Medical Services, Allopathic & Osteopathic Physicians) (Emergency Medicine, ) (Emergency Medicine, ) (Allopathic & Osteopathic Physicians, Emergency Medicine) (All Other Specialties & Provider Types, ) (Emergency Medicine, Allopathic & Osteopathic Physicians)
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Dr. Allen Chang MD |
| Practice Office Address | 1420 N TRACY BLVD TRACY, CA US |
| Practice Office Telephone | 2098351500 |
| Mailing Address | 3160 WRANGLER RD SAN RAMON, CA 945825549 US |
| Business Telephone | 3109806828 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 751 S Bascom Ave | San Jose, CA 951282699 | 4088855000 |
| Carequality [C-CDA] | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) |
| Code | Practice | License No State |
|---|---|---|
| 207PE0004X | Allopathic & Osteopathic Physicians Emergency Medicine Emergency Medicine: Emergency Medical Services All Other Specialties & Provider Types Emergency Medicine Emergency Medical Services Allopathic & Osteopathic Physicians Emergency Medicine | C143700
CA |
| 207P00000X PRIMARY | Emergency Medicine Allopathic & Osteopathic Physicians Emergency Medicine All Other Specialties & Provider Types Emergency Medicine Allopathic & Osteopathic Physicians | C143700
CA |
| 193400000X SING | Group Code |