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NPI Code Detail

MEDICARE: DR. LAURA CHANG MD

MEDICARE: DR. LAURA CHANG MD
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
1207L00000XAnesthesiology PhysicianC205511CA
2207L00000XAnesthesiology Physician243156MA

General Provider Information

NPI Number : 1316171556
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAURA CHANG MD
Provider Business Mailing Address
First Line : 123 CROWNINSHIELD RD
Second Line :
City : BROOKLINE
State : MA
Zip : 02446-6777
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8700 BEVERLY BLVD # SB
Second Line :
City : WEST HOLLYWOOD
State : CA
Zip : 90048-1804
Country : US
Telephone Number : 310-423-5841
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2009
Last Update Date : 01/26/2026

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