Dr. Hoon Young Chang, DDS
Dentist, General Practice in San Bernardino, CA. Individual provider (NPI-1).
NPI number1891815197
StatusActive
Last updated in NPPESMar 7, 2023
Details
- NPI
- 1891815197
- Entity type
- Individual (NPI-1)
- Name
- Dr. Hoon Young Chang
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 30, 2007
- Certification date
- Mar 7, 2023
- Last updated
- Mar 7, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 41902 | CA | Yes |
Other names
- Alex Young Chang (Other Name)
Practice location
164 W Hospitality Ln Ste 14San Bernardino, CA 92408-3329
Phone 909-888-7817
Mailing address
164 W Hospitality Ln Ste 14San Bernardino, CA 92408-3329
Phone 909-888-7817
Other practice locations
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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