Albert J Chang, MD Inc

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

A78996 Issued in CA

Legal business name

ALBERT J CHANG, MD INC

Practice address

10408 Industrial Cir
Redlands, CA 92374-4548

Phone

(909) 796-0363

Fax

(909) 796-0762

NPI assigned

Aug 30, 2007

Last updated

Aug 23, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Mary E Lamoureux

Title

Administrator

Phone

(909) 796-7803

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314057600000",
    "number": "1982898102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10408 INDUSTRIAL CIR",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744548",
            "telephone_number": "909-796-0363",
            "fax_number": "909-796-0762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10408 INDUSTRIAL CIR",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744548",
            "telephone_number": "909-796-0363",
            "fax_number": "909-796-0762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERT J CHANG, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2011-08-23",
        "status": "A",
        "authorized_official_last_name": "LAMOUREUX",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-796-7803",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A78996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1790984805",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A789960",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Redlands, CA
• Providers in Redlands, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.