Individual provider · Type 1 NPI

Jill Chang, PA-C

Medical Physician Assistant · San Diego, CA

NPI number 1114112786 Active

Practice location

5717 Pacific Center Blvd Ste 200
San Diego, CA 92121-4250

Other practice locations

  • 9525 Towne Centre Dr Ste 150, San Diego, CA 92121 · (858) 859-1188

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA17949 (CA)
Surgical Physician Assistant 363AS0400XPA17949 (CA)
Medical Physician Assistant Primary 363AM0700XPA17949 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1114112786

Jill Chang, PA-C's National Provider Identifier is 1114112786, issued on Sep 7, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in San Diego, CA. The record was last updated on May 10, 2019.