Provider Demographics
NPI:1063866598
Name:CHANG, CHIH-WEI (MD)
Entity Type:Individual
Prefix:
First Name:CHIH-WEI
Middle Name:
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 1:10666 N TORREY PINES RD # 403C
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-1092
Mailing Address - Country:US
Mailing Address - Phone:858-554-3200
Mailing Address - Fax:858-554-3232
Practice Address - Street 1:10666 N TORREY PINES RD # 403C
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-1092
Practice Address - Country:US
Practice Address - Phone:858-554-3200
Practice Address - Fax:858-554-3232
Is Sole Proprietor?:No
Enumeration Date:2016-04-21
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMMD2019-0064207R00000X
CAA167740207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine