Provider Demographics
NPI:1841302981
Name:CHANG, DAVID Y (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:Y
Last Name:CHANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:YUNGCHONG
Other - Middle Name:
Other - Last Name:CHANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2408 TORREY PINES RD UNIT 138
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-3470
Mailing Address - Country:US
Mailing Address - Phone:913-244-9518
Mailing Address - Fax:
Practice Address - Street 1:2408 TORREY PINES RD UNIT 138
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-3470
Practice Address - Country:US
Practice Address - Phone:913-244-9518
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA35124207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine