Chang Hwa Mary Chen, M.D., Inc

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A85504 Issued in CA

Legal business name

CHANG HWA MARY CHEN, M.D., INC

Practice address

1025 S Anaheim Blvd
Anaheim, CA 92805-5806

Phone

(714) 533-6220

Fax

(714) 563-2891

NPI assigned

May 11, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Chang-Hwa Mary Chen, M.D.

Title

President

Phone

(310) 829-8202

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1013122183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1809",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928560809",
            "telephone_number": "714-560-1580",
            "fax_number": "714-560-1585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 S ANAHEIM BLVD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928055806",
            "telephone_number": "714-533-6220",
            "fax_number": "714-563-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANG HWA MARY CHEN, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "CHANG-HWA MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-829-8202",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A85504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A855040",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A855040",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luis Chan
• Raymond Man-Shu Chan, D.D.S.
• Rebekah Chan
• Vivian Mun Gee Chan, PT, DPT
• David R. Chandler, MD
• Pauline Chang Uehara, OD
• Christine An-Hsun Chang, D.D.S.
• Cindy K. Chang, O.D.
• Dawn Chang
• Eric Chang

• Anesthesiology Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.