Eileen Yuan Chang

Individual provider Active NPI Emergency Medicine Physician · Torrance, CA

NPI 1376746644 · NPPES record last updated Aug 6, 2015

Key facts

NPI
1376746644
Entity type
Individual (NPI type 1)
Primary specialty
Emergency Medicine Physician 207P00000X
License
A111171 (CA)
Practice address
4101 Torrance Blvd
Em Dept
Torrance, CA 90503-4607
Phone
(310) 540-7676
NPI assigned
Jun 6, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Emergency Medicine
Education
Northwestern University Feinberg Medical School, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Torrance Emergency Physicians Inc (22 clinicians)

Practice addresses (Care Compare)

3330 Lomita Blvd
Torrance, CA 90505-5002
Phone (310) 325-9110

Hospital & facility affiliations

  • Torrance Memorial Medical Center Hospital · Torrance, CA · CCN 050351

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20100730000897 CA Practitioner - Emergency Medicine 1759434749 Reassigns benefits to 4 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A111171CAMDEmergency Medicine Physician
224652MAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vep MLK Emergency Medical Group Inc Emergency Medicine Current
since Aug 1, 2015
Accepting new patients
Capital Hospitalist Medical Group Inc Emergency Medicine Current
since Mar 1, 2016
Accepting new patients
Torrance Emergency Physicians, Inc Emergency Medicine Current
since Oct 22, 2021
Accepting new patients
Martin Luther King, Jr. - Los Angeles (MLK-la) Healthcare Corporation Past Accepting new patients
UCLA Medical Group Emergency Medicine Past Accepting new patients
North Shore Medical Center, Inc. Past Accepting new patients
The Regents of the University of California Past Accepting new patients

Locations

1680 E 120th St
Los Angeles, CA 90059
Phone (424) 338-8000

3330 Lomita Blvd
Torrance, CA 90505
Phone (310) 517-4675

Interoperability endpoints

  • Direct secure messaging: echang439131@direct.uclahealth.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 224652 MA
Emergency Medicine Physician 207P00000X A111171 CA Yes

Addresses

Primary practice location

4101 Torrance Blvd
Em Dept
Torrance, CA 90503-4607

Mailing address

4401 W Memorial Rd Ste 121
Oklahoma City, OK 73134-1722
Phone (405) 751-4664

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 6, 2015.

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438819200000",
    "number": "1376746644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 W MEMORIAL RD STE 121",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731341722",
            "telephone_number": "405-751-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 TORRANCE BLVD",
            "address_2": "EM DEPT",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034607",
            "telephone_number": "310-540-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "EILEEN",
        "middle_name": "YUAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2015-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "224652",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A111171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

All providers in Torrance, CA · Emergency Medicine Physician in California

Sources for this page

Verify at the official NPI Registry.