| Star Health Medical, Professional Corporation | |
|
2707 E Valley Blvd Suite 208 West Covina CA 91792-3195 | |
| (626) 581-0486 | |
| (626) 581-0161 |
| Full Name | Star Health Medical, Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 2707 E Valley Blvd, West Covina, California |
| Authorized Official Name and Position | Henry Chang (OWNER/PHYSICIAN) |
| Authorized Official Contact | 6265810486 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Star Health Medical, Professional Corporation 2707 E Valley Blvd Suite 208 West Covina CA 91792-3195 Ph: (626) 581-0486 | Star Health Medical, Professional Corporation 2707 E Valley Blvd Suite 208 West Covina CA 91792-3195 Ph: (626) 581-0486 |
| NPI Number | 1558509810 |
|---|---|
| Provider Enumeration Date | 01/25/2009 |
| Last Update Date | 07/21/2014 |
| Medicare PECOS PAC ID | 2860521564 |
|---|---|
| Medicare Enrollment ID | O20100518000502 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558509810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | C3169060 (California) | Primary |
| Provider Name | Henry Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740430289 PECOS PAC ID: 0143359844 Enrollment ID: I20100518000490 |
| Provider Name | Pei Shan Tsai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538556170 PECOS PAC ID: 1153656285 Enrollment ID: I20190711002908 |
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