Maximilian Chang, D.D.S., Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

46249 Issued in CA

Legal business name

MAXIMILIAN CHANG, D.D.S., INC.

Practice address

4010 Sepulveda Blvd
Suite 5
Torrance, CA 90505-2372

Phone

(310) 378-5358

NPI assigned

May 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Maximilian Chang, D.D.S.

Title

Chief Executive Officer

Phone

(310) 378-5358

Specialties & licenses 1

Addresses

Practitioners 1

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

• Tae Jun Ahn, DDS

  • Prosthodontics
  • Torrance, CA
  • NPI 1558566943
  NPD (past)

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750582250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 SEPULVEDA BLVD",
            "address_2": "SUITE 5",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905052372",
            "telephone_number": "310-378-5358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 SEPULVEDA BLVD",
            "address_2": "SUITE 5",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905052372",
            "telephone_number": "310-378-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIMILIAN CHANG, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "MAXIMILIAN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "310-378-5358",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Marie Mattson
• Lindsey Anne Matulis, RD
• Mark Elliott Matusak, DO
• Marilee Mauldin
• Vivian Maung
• Calvin Maxwell, DDS
• Crystal Maxwell, MBA
• Sara May, MD
• Mary Helen Maya Monroy
• Brian Fumio Mayeda, MD

• General Practice Dentistry in Torrance, CA
• Providers in Torrance, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.