Provider Demographics
NPI:1427090414
Name:CHANG, STEVEN CHRISTOPHER (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:CHRISTOPHER
Last Name:CHANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2175 N CALIFORNIA BLVD
Mailing Address - Street 2:SUITE 425
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-3579
Mailing Address - Country:US
Mailing Address - Phone:925-543-0140
Mailing Address - Fax:925-543-0145
Practice Address - Street 1:2175 N CALIFORNIA BLVD
Practice Address - Street 2:SUITE 425
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-3579
Practice Address - Country:US
Practice Address - Phone:925-543-0140
Practice Address - Fax:925-543-0145
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2015-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG70914207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G709141Medicaid
F57066Medicare UPIN
CA00G709141Medicaid