Dr Dennis Chang, MD | |
11370 Anderson St, Ste.2100, Loma Linda, CA 92354-3450 | |
(909) 558-2822 | |
Not Available |
Full Name | Dr Dennis Chang |
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Gender | Male |
Speciality | Otolaryngology |
Location | 11370 Anderson St, Loma Linda, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578773628 | NPI | - | NPPES |
00A808960 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | A80896 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
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Dr Dennis Chang, MD File Number 54701, Los Angeles, CA 90074-0001 Ph: (909) 558-3111 | Dr Dennis Chang, MD 11370 Anderson St, Ste.2100, Loma Linda, CA 92354-3450 Ph: (909) 558-2822 |
John Y Kim, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 11370 Anderson St, Suite 2100, Loma Linda, CA 92354 Phone: 909-558-2822 | |
Vikrum Thimmappa, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-4000 | |
Khanh K Nguyen, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-8558 | |
Max Feng, Otolaryngology Medicare: Medicare Enrolled Practice Location: Loma Linda University Health Otolaryngology, 11234 Anderson Street, Loma Linda, CA 92354 Phone: 909-558-2600 | |
Liyang Tang, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 11370 Anderson St, Loma Linda, CA 92354 Phone: 909-558-2822 | |
Roy Wang Qu, Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-2600 | |
Dr. Justin Daniel Mclarty, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Cp 21005, Loma Linda, CA 92354 Phone: 909-558-8131 Fax: 909-558-0430 |