MEDICARE: DR. CHAN-CHOU CHUANG M.D., FCCP, FACP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician	A060989	CA
2	208M00000X	Hospitalist Physician	A060989	CA
3	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	A060989	CA

General Provider Information

NPI Number	:	1073589248
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHAN-CHOU CHUANG M.D., FCCP, FACP

Provider Business Mailing Address
First Line	:	30082 AVENIDA ELEGANTE
Second Line	:
City	:	RANCHO PALOS VERDES
State	:	CA
Zip	:	90275-4511
Country	:	US
Telephone Number	:	310-265-2925
Fax Number	:	310-784-4991

Provider Business Practice Location Address
First Line	:	7131 AVENIDA ALTISIMA
Second Line	:
City	:	RANCHO PALOS VERDES
State	:	CA
Zip	:	90275-4451
Country	:	US
Telephone Number	:	310-889-4002
Fax Number	:	310-265-2925

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2006
Last Update Date	:	07/09/2022

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