| John W Chang Md Medical Corporation | |
|
2001 S Barrington Ave Suite 212 Los Angeles CA 90025-5363 | |
| (310) 396-4543 | |
| (310) 396-6109 |
| Full Name | John W Chang Md Medical Corporation |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2001 S Barrington Ave, Los Angeles, California |
| Authorized Official Name and Position | John W Chang (PRESIDENT) |
| Authorized Official Contact | 3103964543 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John W Chang Md Medical Corporation 2001 S Barrington Ave Suite 212 Los Angeles CA 90025-5363 Ph: (310) 396-4543 | John W Chang Md Medical Corporation 2001 S Barrington Ave Suite 212 Los Angeles CA 90025-5363 Ph: (310) 396-4543 |
| NPI Number | 1881707008 |
|---|---|
| Provider Enumeration Date | 08/15/2006 |
| Last Update Date | 10/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881707008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | A77448 (California) | Primary |
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