Carolyn C Chang MD, a Prof. Corp.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

A054546 Issued in CA

Legal business name

CAROLYN C CHANG MD, A PROF. CORP.

Practice address

2100 Webster St
Suite 506
San Francisco, CA 94115-2373

Phone

(415) 923-3067

Fax

(415) 346-5019

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Carolyn Chieng-Lin Chang, M.D.NPI 1598826745

Title

Ceo

Phone

(415) 923-3067

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carolyn Chieng Lin Chang, MD

  • Plastic and Reconstructive Surgery Physician
  • San Francisco, CA
  • NPI 1598826745
  NPD (past) Authorized official

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154533115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 WEBSTER ST",
            "address_2": "SUITE 506",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152373",
            "telephone_number": "415-923-3067",
            "fax_number": "415-346-5019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WEBSTER ST",
            "address_2": "SUITE 506",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152373",
            "telephone_number": "415-923-3067",
            "fax_number": "415-346-5019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLYN C CHANG MD, A PROF. CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "CHIENG-LIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-923-3067",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A054546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Yong, MD, Inc.
• Naomi Carolino, D.D.S.
• Caroll M Brodsky, M.D.
• Daniela V Carollo
• Scott Carollo, MFT
• Carolyn E. Million, MD, PC
• Scott Douglass Caron, C.M.T, L.M.T.
• Jennifer Carothers-Liske
• Lauren Claire Carothers-Liske
• Allen D Carpenter, PT

• Clinic/Center in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.