Organization Active NPI

Lawc Dermatology

  • Dermatology Physician
  • Rancho Cucamonga, CA
National Provider Identifier
1407268618
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
LAWC DERMATOLOGY
Practice address
8221 Rochester Ave Ste 130
Rancho Cucamonga, CA 91730-0721
Phone
(609) 497-7662
NPI assigned
May 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2014

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

Authorized official

Name
Dr. Laura Chang, M.D
Title
Dermatologist
Phone
(609) 497-7662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

8221 Rochester Ave Ste 130
Rancho Cucamonga, CA 91730-0721

Mailing address

832 Magnolia Ave
Unit 10
Pasadena, CA 91106-4603

National Provider Directory

National Provider Directory

Locations

8221 Rochester Ave
Ste 130
Rch Cucamonga, CA 91730
Phone (609) 497-7662

NPI Registry JSON

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400716800000",
    "number": "1407268618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 MAGNOLIA AVE",
            "address_2": "UNIT 10",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911064603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8221 ROCHESTER AVE STE 130",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300721",
            "telephone_number": "609-497-7662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWC DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-22",
        "last_updated": "2014-05-22",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "DERMATOLOGIST",
        "authorized_official_telephone_number": "609-497-7662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; 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.