Hubert Kim Chang, DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

DC25672 Issued in CA

Practice address

6301 Beach Blvd Ste 109
Buena Park, CA 90621-4030

Phone

(714) 675-4817

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• BVC Therapy Group

  • Physical Therapist
  • Buena Park, CA
  • NPI 1255472221
  NPD Authorized official
• Allcare Family Medical Group, Inc

  • Family Medicine Physician
  • Buena Park, CA
  • NPI 1083159057
  NPD
• Jorge L Moran MD Inc

  • General Practice Physician
  • Inglewood, CA
  • NPI 1487795753
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662249600000",
    "number": "1972528941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16377 LAS CUMBRES DR",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906031139",
            "telephone_number": "714-675-4817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 BEACH BLVD STE 109",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906214030",
            "telephone_number": "714-675-4817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "HUBERT",
        "middle_name": "KIM",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2022-09-04",
        "certification_date": "2022-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC25672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE",
            "identifier": "ZZZ66234Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DC0256720",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mirna R Chambi, MD
• Alicia Chang
• Edgar Jason Chang, D.C.
• Eugene Y Chang, MD
• Hannah Chang, OTR/L
• Michael Jung-Chan Chang, DMD
• Paul Soojin Chang, M.D.
• Sunhee Chang, ACUPUNCTURIST
• Changsoo Medical Group
• Charm Acupuncture Professional Corporation

• Sports Physician Chiropractor in Buena Park, CA
• Providers in Buena Park, CA by specialty
• Sports Physician Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2022; 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.