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NPI Code Detail

MEDICARE: FRANCIS CHANG MD INC

MEDICARE: FRANCIS CHANG MD INC
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
1207V00000XObstetrics & Gynecology PhysicianA108404CA

General Provider Information

NPI Number : 1679827091
Entity Type Code : Organization
Provider Name (Legal Business Name) : FRANCIS CHANG MD INC
Provider Business Mailing Address
First Line : 801 S FLOWER ST
Second Line : SUITE 204
City : LOS ANGELES
State : CA
Zip : 90017-4625
Country : US
Telephone Number : 310-963-6984
Fax Number :
Provider Business Practice Location Address
First Line : 801 S FLOWER ST
Second Line : SUITE 204
City : LOS ANGELES
State : CA
Zip : 90017-4625
Country : US
Telephone Number : 310-963-6984
Fax Number :
Authorized Official
Title or Position : MD/OWNER
Name : FRANCIS CHANG
Credential : MD
Telephone Number : 310-963-6984
Provider Enumeration Date : 11/07/2012
Last Update Date : 11/07/2012

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