Individual provider · Type 1 NPI

Marcello Kendrew Chang, MD

Student in an Organized Health Care Education/Training Program · San Jose, CA

NPI number 1053006460 Active

Practice location

751 S Bascom Ave
San Jose, CA 95128-2604

Call (408) 885-5000 Map

Mailing address

11818 Old Eureka Way
Gold River, CA 95670-8360

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1053006460

Marcello Kendrew Chang, MD's National Provider Identifier is 1053006460, issued on Apr 11, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Jose, CA. The record was last updated on Apr 11, 2023.