Ekg360

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

EKG360

Practice address

1360 Valley Vista Dr Ste 203
Diamond Bar, CA 91765-3953

Phone

(310) 866-0709

Fax

(310) 755-3108

NPI assigned

Sep 15, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Ruey-Kang Chang, MDNPI 1427029677

Title

Ceo

Phone

(310) 866-0709

Specialties & licenses 1

Addresses

Practitioners 1

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

• Ruey-Kang R. Chang, M.D.

  • Pediatric Cardiology Physician
  • Diamond Bar, CA
  • NPI 1427029677
  NPD Authorized official

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1255001806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 VALLEY VISTA DR STE 203",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653953",
            "telephone_number": "310-866-0709",
            "fax_number": "310-755-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 VALLEY VISTA DR STE 203",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653953",
            "telephone_number": "310-866-0709",
            "fax_number": "310-755-3108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EKG360",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "RUEY-KANG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-866-0709",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physiological Laboratory in Diamond Bar, CA
• Providers in Diamond Bar, CA by specialty
• Physiological Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.