Moon S Chang, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A333570 Issued in CA

Practice address

3671 W 6TH St
Los Angeles, CA 90020-3026

Phone

(213) 383-8497

Fax

(213) 365-9133

NPI assigned

Oct 24, 2006

Last updated

Nov 28, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259366400000",
    "number": "1275617714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3671 W 6TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203026",
            "telephone_number": "213-383-8497",
            "fax_number": "213-365-9133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3671 W 6TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203026",
            "telephone_number": "213-383-8497",
            "fax_number": "213-365-9133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "MOON",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2009-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A333570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A333570",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6671816",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Ji Hye Chang
• Mike Jae Young Chang, M.A
• Millie Rocio Chang, MD
• Mina Juhee Chang
• Miya Chang
• Myles W Chang
• Myra Jeanne Chang, OTR/L
• Nancy Takatsuka Chang, NP
• Paik Hyun Chang, M.D.
• Pao-Sheng Chang

• Specialist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2009; 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.