Kevin Wesley Chang, | |
4560 Admiralty Way Ste 100, Marina Del Rey, CA 90292-5424 | |
(310) 827-3700 | |
(310) 578-5379 |
Full Name | Kevin Wesley Chang |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 4560 Admiralty Way Ste 100, Marina Del Rey, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770044174 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 125.073753 (Illinois) | Secondary |
207Q00000X | Family Medicine | 125073753 (Illinois) | Secondary |
207Q00000X | Family Medicine | A180365 (California) | Primary |
Entity Name | The Regents Of The University Of California |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235107566 PECOS PAC ID: 1355248584 Enrollment ID: O20031223000439 |
Entity Name | American Current Care Of California A Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750573622 PECOS PAC ID: 5799854303 Enrollment ID: O20080522000420 |
Entity Name | Regents Of The University Of California |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891110888 PECOS PAC ID: 5294958815 Enrollment ID: O20140528001538 |
Mailing Address | Practice Location Address |
---|---|
Kevin Wesley Chang, 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: () - | Kevin Wesley Chang, 4560 Admiralty Way Ste 100, Marina Del Rey, CA 90292-5424 Ph: (310) 827-3700 |
Cathia Vazquez, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4560 Admiralty Way Ste 100, Marina Del Rey, CA 90292 Phone: 310-656-1770 Fax: 310-578-5379 | |
Dr. Brian Antony Boben, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 13160 Mindanao Way Ste 301, Marina Del Rey, CA 90292 Phone: 310-301-0230 Fax: 310-301-0233 | |
Dr. Michael Gorniowsky, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 4644 Lincoln Blvd, Suite 428, Marina Del Rey, CA 90292 Phone: 310-306-1888 Fax: 310-577-8290 | |
Anthony Martin Ocana, MD, CCFP, FASAM Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 13924 Marquesas Way Apt 1520, Marina Del Rey, CA 90292 Phone: 604-803-8513 | |
Edward King, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4560 Admiralty Way Ste 100, Marina Del Rey, CA 90292 Phone: 310-827-3700 | |
Ahmed Ashary, Family Medicine Medicare: Medicare Enrolled Practice Location: 4560 Admiralty Way Ste 100, Marina Del Rey, CA 90292 Phone: 310-827-3700 | |
Dr. Layla Nina Farrahi, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 4560 Admiralty Way Ste 100, Marina Del Rey, CA 90292 Phone: 310-827-3700 Fax: 310-578-5379 |