Active NPI
Chang Heo
- Chiropractor
- Hawaiian Gardens, CA
National Provider Identifier
1750622387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC32548
- Practice address
- 12587 Carson St
Hawaiian Gardens, CA 90716-1667 - Phone
- (415) 652-3049
- NPI assigned
- Mar 6, 2013
- Last updated
- Apr 7, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC32548 | CA | Primary |
Addresses
Primary practice location
12587 Carson St
Hawaiian Gardens, CA 90716-1667
Mailing address
12587 Carson St
Hawaiian Gardens, CA 90716-1667
Phone (415) 652-3049
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC32548 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yurim Acupuncture Inc | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396828800000",
"number": "1750622387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12587 CARSON ST",
"city": "HAWAIIAN GARDENS",
"state": "CA",
"postal_code": "907161667",
"telephone_number": "415-652-3049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12587 CARSON ST",
"city": "HAWAIIAN GARDENS",
"state": "CA",
"postal_code": "907161667",
"telephone_number": "415-652-3049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEO",
"first_name": "CHANG",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-06",
"last_updated": "2014-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC32548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hawaiian Gardens, CA
- Shalom Eunique Hall, LVN
- James Sadao Hamada, MD
- Jong Chul Han, DDS
- Hawaiian Gardens Dialysis Center LLC (South Cerritos Dialysis)
- Hawaiian Gardens Walk-in Urgent Care (Amable Delos Reyes Aguiluz Jr., MD. Inc)
- Patrick J Heppell
- Janette Hernandez
- Juan David Hernandez, M.S.W
- Yvette Denise Holman
- Linda Black Howell, SUBSTANCE ABUSE COUN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.