Gabriel Chang Valid NPI
Individual provider · Physician Assistant · San Bernardino, CA
- NPI
- 1346859535
- Type
- Individual (Type 1)
- Primary specialty
- Physician Assistant
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363A00000X
- License number
- 58575 (CA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2020-07-23
- Last updated
- 2022-02-01
Practice location
2101 N Waterman Ave
San Bernardino, CA 92404-4836
(909) 883-8871