Provider Demographics
NPI:1427214410
Name:CHANG, STEVEN C (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:C
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 1:2402 MARITIME WAY
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:CA
Mailing Address - Zip Code:94804-4212
Mailing Address - Country:US
Mailing Address - Phone:415-513-2986
Mailing Address - Fax:
Practice Address - Street 1:201 SPEAR ST
Practice Address - Street 2:SUITE 230
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94105-1630
Practice Address - Country:US
Practice Address - Phone:415-503-9277
Practice Address - Fax:415-291-0489
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-30
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA104265207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine