Provider Demographics
NPI:1235290669
Name:CHANG, DUKE MIN (MD)
Entity Type:Individual
Prefix:DR
First Name:DUKE
Middle Name:MIN
Last Name:CHANG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3663 TORRANCE BLVD
Mailing Address - Street 2:SUITE 7
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-4817
Mailing Address - Country:US
Mailing Address - Phone:310-316-6123
Mailing Address - Fax:310-316-1253
Practice Address - Street 1:3663 TORRANCE BLVD
Practice Address - Street 2:SUITE 7
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-4817
Practice Address - Country:US
Practice Address - Phone:310-316-6123
Practice Address - Fax:310-316-1253
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2013-11-08
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Provider Licenses
StateLicense IDTaxonomies
CAC43046207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00C430461Medicaid
F49145Medicare UPIN
CA00C430461Medicaid