Laura Sorana Mos Chang, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A116156 Issued in CA

Practice address

1818 Verdugo Blvd Ste 304
Glendale, CA 91208-1444

Phone

(818) 790-3588

NPI assigned

Jun 22, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Pennsylvania State University College of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Skin and Beauty Center IncGroup PAC ID 8628170347, 34 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: laurachang@hcpca.allscriptsdirect.net
• Direct secure messaging: lchang@dcm-ca.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Skin and Beauty Center Inc

  • Dermatology Physician
  • Burbank, CA
  • NPI 1073751129
  Medicare reassignment Care Compare group NPD
• Healthcare Partners Affiliates Medical Group

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1659312593

  Dermatology

  Medicare reassignment NPD
• Healthcare Partners Affiliates Medical Group

  • Durable Medical Equipment & Medical Supplies
  • Murrieta, CA
  • NPI 1760057269
  NPD
• Northridge Dermatology Associates Medical Group Inc

  • Dermatology Physician
  • Northridge, CA
  • NPI 1346261617
  NPD
• Skin and Beauty Center (SBC), Inc.

  • Specialist
  • Northridge, CA
  • NPI 1972920759
  NPD
• Pasadena Hospital Association, LTD.

  • Psychiatric Hospital Unit
  • Pasadena, CA
  • NPI 1437121142
  NPD (past)
• Skin and Beauty Center (SBC), Inc.

  • Dermatology Physician
  • Valencia, CA
  • NPI 1316026875
  NPD (past)
• Usc Arcadia Hospital

  • Rehabilitation Hospital Unit
  • Arcadia, CA
  • NPI 1164410593
  NPD (past)

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1821225467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 VERDUGO BLVD STE 304",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081444",
            "telephone_number": "818-790-3588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 VERDUGO BLVD STE 304",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081444",
            "telephone_number": "818-790-3588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "LAURA",
        "middle_name": "SORANA MOS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-22",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A116156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chandnish K Ahluwalia M D Inc
• Chanel Hospice
• Alice Chang, D.O.
• Dennis Chang, D.O.
• Kyo Chang, L.AC., D.C.
• Stephen S Chang, MD
• Wen-Shi Chang, MD
• Jason Chanh
• Kenneth Chao, LAC
• Christopher J Charbonnet, M.D.

• Dermatology Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.