Moon Chang M.D. & Bong Chang, M.D. Apc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

MOON CHANG M.D. & BONG CHANG, M.D. APC

Practice address

3671 W 6TH St
Los Angeles, CA 90020-3026

Phone

(213) 383-8496

Fax

(213) 365-9133

NPI assigned

Oct 1, 2007

Organization subpart

No

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

Authorized official

Name

Bong Chang

Title

Owner

Phone

(213) 383-8496

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318204800000",
    "number": "1790972016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3671 W 6TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3671 W 6TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203026",
            "telephone_number": "213-383-8496",
            "fax_number": "213-365-9133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOON CHANG M.D. & BONG CHANG, M.D. APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2011-10-10",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "BONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-383-8496"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minci Sekou Moody, DR.
• Raul Moody, RRT, RCP
• Tyra Moody
• Dominic Moog
• Priyanka Moolchandani
• Moon Chiropractic Group, Inc
• Moon G Yun MD
• Andrw Moon
• Andy Moon, MD
• Brian Joon Moon, M.D.

• Medical Specialty Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; 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.