Moon Chang M.D. & Bong Chang, M.D. Apc
Clinic/Center, Medical Specialty in Los Angeles, CA. Organization (NPI-2).
NPI number1790972016
StatusActive
Last updated in NPPESOct 10, 2011
Details
- NPI
- 1790972016
- Entity type
- Organization (NPI-2)
- Legal business name
- Moon Chang M.D. & Bong Chang, M.D. Apc
- Organization subpart
- No
- Enumeration date
- Oct 1, 2007
- Last updated
- Oct 10, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2500X | Clinic/Center, Medical Specialty | – | – | Yes |
Practice location
3671 W 6th StLos Angeles, CA 90020-3026
Phone 213-383-8496 · Fax 213-365-9133
Mailing address
3671 W 6th StLos Angeles, CA 90020-3026
Authorized official
Bong Chang
Owner
2133838496
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