Provider Demographics
NPI:1093858938
Name:CHANG, DAVID BON-CHEE (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:BON-CHEE
Last Name:CHANG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23310 CINEMA DR
Mailing Address - Street 2:SUITE #104
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-1612
Mailing Address - Country:US
Mailing Address - Phone:661-255-2516
Mailing Address - Fax:661-255-2517
Practice Address - Street 1:23310 CINEMA DR
Practice Address - Street 2:SUITE #104
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-1612
Practice Address - Country:US
Practice Address - Phone:661-255-2516
Practice Address - Fax:661-255-2517
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-30429111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor