Seungkook Chang MD Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A35067 Issued in CA

Legal business name

SEUNGKOOK CHANG MD INC

Practice address

19687 Valley Blvd
Walnut, CA 91789-2146

Phone

(909) 598-5228

Fax

(909) 598-9021

NPI assigned

Nov 11, 2010

Organization subpart

No

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

Authorized official

Name

Seung Kook Chang, M.D.

Title

President

Phone

(909) 598-5228

Specialties & licenses 1

Addresses

Other names 1

• Walnut medical Group Doing business as

Locations

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

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289433600000",
    "number": "1679874309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19687 VALLEY BLVD",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917892146",
            "telephone_number": "909-598-5228",
            "fax_number": "909-598-9021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19687 VALLEY BLVD",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917892146",
            "telephone_number": "909-598-5228",
            "fax_number": "909-598-9021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEUNGKOOK CHANG MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-11",
        "last_updated": "2010-11-11",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "SEUNG",
        "authorized_official_middle_name": "KOOK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-598-5228",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A35067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walnut medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elva Salcido
• Jacqueline M. Sam, DPT
• Erwin Sampang, NP
• Neda Sanai, MFT
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• Wolfgang Shane, D.C.
• Ankush Sharma, MD
• Anshen Shi, OMD., LAC.
• Billy Shiou, DPT

• Primary Care Clinic/Center in Walnut, CA
• Providers in Walnut, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; 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.