MEDICARE: CALIFORNIA PPO LLC

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	202C00000X	Independent Medical Examiner Physician
2	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician

General Provider Information

NPI Number	:	1861275497
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CALIFORNIA PPO LLC

Provider Business Mailing Address
First Line	:	22287 MULHOLLAND HWY # 526
Second Line	:
City	:	CALABASAS
State	:	CA
Zip	:	91302-5157
Country	:	US
Telephone Number	:	877-772-8071
Fax Number	:	877-261-7383

Provider Business Practice Location Address
First Line	:	23901 CALABASAS RD STE 2080
Second Line	:
City	:	CALABASAS
State	:	CA
Zip	:	91302-4104
Country	:	US
Telephone Number	:	310-954-6454
Fax Number	:

Authorized Official
Title or Position	:	CHIEF MEDICAL OFFICER
Name	:	LYNN CHANG
Credential	:	DO
Telephone Number	:	877-772-7081

Provider Enumeration Date	:	08/16/2023
Last Update Date	:	01/22/2026

Similar Medicare Providers

1881081032 — LYNN CHANG
Practice Location Address:

23901 CALABASAS RD STE 2080
CALABASAS, CA
91302-4104

Practice Phone: 877-772-7081
Practice Fax:

1013505452 — ELEMENT OF BLANK, INC.
Practice Location Address:

23901 CALABASAS RD STE 2080
CALABASAS, CA
91302-4104

Practice Phone: 310-954-6454
Practice Fax:

1205271327 — DONNIE EVANS MD PA
Practice Location Address:

1310 HORSESHOE DR
SUGAR LAND, TX
77478-3416

Practice Phone: 281-242-4104
Practice Fax:

1922002492 — JESSIE ADAME M.D.
Practice Location Address:

3007 WOODLAND HILLS DR # 123
KINGWOOD, TX
77339-1403

Practice Phone: 281-359-1953
Practice Fax: 281-657-6834

1821095787 — ODUAH DANIEL OSARO M.D
Practice Location Address:

108 S 4TH ST
CLINTON, IA
52732-4425

Practice Phone: 563-241-1239
Practice Fax: 563-241-1243

1912999764 — DR. CHARLES E. IMBUS MD
Practice Location Address:

665 W NAOMI AVE , SUITE 202
ARCADIA, CA
91007-7563

Practice Phone: 626-445-6275
Practice Fax: 626-445-3583

Directions to “CALIFORNIA PPO LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.