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1508906181
ELLISON CHANG
RIVERSIDE, CA
NPI
1508906181
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA G67488)
Enumeration Date
2007-02-06
Last Update Date
2007-07-08
Business Address
-- ELLISON CHANG MD
9990 COUNTY FARM RD # S-3 S-3
RIVERSIDE, CA 92503-3542
Phone number: 951-358-4647
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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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