123 Medical Group Corp.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

123 MEDICAL GROUP CORP.

Practice address

18800 Amar Rd Ste C12
Walnut, CA 91789-4561

Phone

(626) 788-9691

Fax

(626) 608-0318

NPI assigned

Dec 15, 2015

Last updated

Aug 9, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Allan C Chang, LAC, DOM, DAOMNPI 1821415183

Title

President

Phone

(626) 889-6917

Specialties & licenses 3

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Allan C Chang, LAC, DOM, DAOM

  • Acupuncturist
  • Walnut, CA
  • NPI 1821415183
  NPD Authorized official

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

{
    "created_epoch": "1450137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1588029771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18800 AMAR RD STE C12",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917894561",
            "telephone_number": "626-788-9691",
            "fax_number": "626-608-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18800 AMAR RD STE C12",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917894561",
            "telephone_number": "626-788-9691",
            "fax_number": "626-608-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "123 MEDICAL GROUP CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-15",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-889-6917",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LAC, DOM, DAOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY MEDICINE",
            "identifier": "1588029771",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 123 Clinic and Acupuncture
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• A&C Healthcare, Inc.
• Able Hands Hospice
• Able Hands Inc. (Able Hands Home Health Care)

• Family Medicine Physician in Walnut, CA
• Providers in Walnut, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.