| NPI | 1952780652 |
|---|---|
| Other Name | BEN W. CHANG |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95002080) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95002080) |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2015-05-27 |