Kenny Chang in Los Angeles - Physician Assistant

Kenny Chang - NPI 1134397870

Kenny Chang is a Physician Assistant in Los Angeles, California. Kenny Chang practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kenny Chang is 1134397870. The last update date is 2011-03-21.

Kenny Chang's current location address is 12021 Wilshire Blvd Ste 745, Los Angeles, California. You can contact this provider via phone number 3103481900. The mailing address for Kenny Chang is 12021 Wilshire Blvd Ste 745, Los Angeles, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenny Chang
Address 12021 Wilshire Blvd Ste 745, Los Angeles, California
Phone Number 3103481900
Fax Number
Sole Proprietor N
Credentials PAC

NPI Number Detail

NPI Number 1134397870
Provider Enumeration Date 2008-02-15
Last Updated Date 2011-03-21

Provider Mailing Address Detail

Address 12021 Wilshire Blvd Ste 745
City Los Angeles
State California (CA)
Post Code 900251206
Phone Number 3103481900
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA16068
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Kenny Chang

What is the Kenny Chang's 1134397870?

The Kenny Chang's NPI (National Provider Identifier) Number is 1134397870. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Kenny Chang?

The Kenny Chang is physically situated at 12021 Wilshire Blvd Ste 745, in the city of Los Angeles, state of CA, with the postal code 900251206.

What is Kenny Chang's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Kenny Chang is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1134397870 to Kenny Chang?

The Centers for Medicare & Medicaid Services assigned the 1134397870 to Kenny Chang on 2008-02-15.

As of what date were the details pertaining to Kenny Chang last refreshed?

The information related to the Kenny Chang, including its address, specialty, and other relevant details, was last updated on 2011-03-21.

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