Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jim S Chang DDS Inc

Organization Dentist · NPI 1306953690

Jim S Chang DDS Inc is a Dentist in San Diego, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12798 Ranch Penasquitos Blvd Ste I
San Diego, CA 92129
Phone: (858) 484-9776
Fax: (858) 484-0721
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 34942 (CA)

Record details

NPI number1306953690
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jim Chang — Ceo · (858) 484-9776
Other names Penasquitos Point Family Dentristry
NPI enumeratedAugust 24, 2006
Last updated in NPPESAugust 22, 2020
Mailing address12798 Ranch Penasquitos Blvd, Suite I, San Diego, CA 92129

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