Organization Active NPI

John W Chang MD Medical Corporation

  • Multi-Specialty Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1881707008
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
A77448 Issued in CA
Legal business name
JOHN W CHANG MD MEDICAL CORPORATION
Practice address
2001 S Barrington Ave
Suite 212
Los Angeles, CA 90025-5363
Phone
(310) 396-4543
Fax
(310) 396-6109
NPI assigned
Aug 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2010

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

Authorized official

Name
Dr. John W Chang, M.D.NPI 1386667889
Title
President
Phone
(310) 396-4543

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X A77448 CA Primary

Addresses

Primary practice location

2001 S Barrington Ave
Suite 212
Los Angeles, CA 90025-5363

Mailing address

2001 S Barrington Ave
Suite 212
Los Angeles, CA 90025-5363
Phone (310) 396-4543

National Provider Directory

National Provider Directory

Locations

2001 S Barrington Ave
Ste 212
Los Angeles, CA 90025
Phone (213) 444-1155

1053 Crenshaw Blvd
Ste 120
Los Angeles, CA 90019
Phone (310) 943-9013

2701 Ocean Park Blvd
Ste 119
Santa Monica, CA 90405
Phone (310) 396-4543

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1881707008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S BARRINGTON AVE",
            "address_2": "SUITE 212",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255363",
            "telephone_number": "310-396-4543",
            "fax_number": "310-396-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S BARRINGTON AVE",
            "address_2": "SUITE 212",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255363",
            "telephone_number": "310-396-4543",
            "fax_number": "310-396-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN W CHANG MD MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-396-4543",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "CA",
            "license": "A77448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.