| Eric T Chang Md, Inc | |
|
4856 Bellflower Blvd Lakewood CA 90713-2306 | |
| (562) 425-1205 | |
| (562) 496-1727 |
| Full Name | Eric T Chang Md, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 4856 Bellflower Blvd, Lakewood, California |
| Authorized Official Name and Position | Eric T Chang (OWNER) |
| Authorized Official Contact | 5624251727 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eric T Chang Md, Inc 4856 Bellflower Blvd Lakewood CA 90713-2306 Ph: (562) 425-1205 | Eric T Chang Md, Inc 4856 Bellflower Blvd Lakewood CA 90713-2306 Ph: (562) 425-1205 |
| NPI Number | 1932402674 |
|---|---|
| Provider Enumeration Date | 12/20/2010 |
| Last Update Date | 12/20/2010 |
| Medicare PECOS PAC ID | 0547428518 |
|---|---|
| Medicare Enrollment ID | O20120222000134 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932402674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G34577 (California) | Primary |
| Provider Name | Eric T Chang |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1164597258 PECOS PAC ID: 9436317401 Enrollment ID: I20120222000182 |
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