Kook I. Chang, M.D. a Professional Corporation

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

KOOK I. CHANG, M.D. A PROFESSIONAL CORPORATION

Practice address

14600 Sherman Way Ste 270
Van Nuys, CA 91405-2272

Phone

(818) 780-7771

NPI assigned

Mar 12, 2007

Organization subpart

No

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

Authorized official

Name

Kook I Chang, M.D.NPI 1356442354

Title

M.D.

Phone

(818) 780-7771

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Kook I Chang, M.D.

  • Internal Medicine Physician
  • Van Nuys, CA
  • NPI 1356442354
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1316079387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14600 SHERMAN WAY STE 270",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052272",
            "telephone_number": "818-780-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14600 SHERMAN WAY STE 270",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052272",
            "telephone_number": "818-780-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOOK I. CHANG, M.D. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "KOOK",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "818-780-7771",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dimitriy G Kondrashov, MD
• Kong He Medical Corporation
• Charvie Kim Kong, MSW
• Konstantina Kontalipos
• Gina Jung Eun Koo, OD
• Theresa Koon
• Abigail Kops
• Arielle Korn Warner, CD
• Silvia Koshkarian, RBT
• Christine Koski, R.D.

• Cardiovascular Disease Physician in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.