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

Jae Bum Chang

Individual provider Pharmacist · NPI 1366719288

Jae Bum Chang is a Pharmacist in Modesto, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011
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Practice location Address checks out

1101 McHenry Ave
Modesto, CA 95350
Phone: (209) 577-8695
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 44601 (CA)

Record details

NPI number1366719288
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 21, 2011
Last updated in NPPESNovember 21, 2011
Mailing address1101 McHenry Ave, Modesto, CA 95350

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