Jesse Chang, M.D. a Professional Corporation

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

A77482 Issued in CA

Legal business name

JESSE CHANG, M.D. A PROFESSIONAL CORPORATION

Practice address

3801 Katella Ave
#223
Los Alamitos, CA 90720-3338

Phone

(562) 626-8016

NPI assigned

Sep 20, 2010

Last updated

Jan 18, 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

Dr. Jesse Chang, M.D.NPI 1366481863

Title

President

Phone

(562) 343-0704

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jesse L. Chang, M.D.

  • Pulmonary Disease Physician
  • Los Alamitos, CA
  • NPI 1366481863
  Authorized official Same address or phone

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1982912366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 SOUTHSHORE DR",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907405863",
            "telephone_number": "562-343-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 KATELLA AVE",
            "address_2": "#223",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203338",
            "telephone_number": "562-626-8016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSE CHANG, M.D. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-20",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-343-0704",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A77482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pulmonary Disease Physician in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Pulmonary Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.