ELLISON CHANG

RIVERSIDE, CA
NPI1508906181
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA  G67488)
Enumeration Date2007-02-06
Last Update Date2007-07-08
Business Address
-- ELLISON CHANG MD
9990 COUNTY FARM RD # S-3 S-3
RIVERSIDE, CA 92503-3542
Phone number: 951-358-4647
Mailing Address
-- ELLISON CHANG MD
10808 FOOTHILL BLVD S-160 B388
RANCHO CUCAMONGA, CA 91730-3889
Phone number: 951-358-4647
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