Healthcare Provider Details

I. General information

NPI: 1831322403
Provider Name (Legal Business Name): HSIN CHANG, CHAO SHUO HUANG MEDICAL GROUP INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2009
Last Update Date: 08/31/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17742 BEACH BLVD SUITE 240
HUNTINGTON BEACH CA
92647-6818
US

IV. Provider business mailing address

17742 BEACH BLVD SUITE 240
HUNTINGTON BEACH CA
92647-6818
US

V. Phone/Fax

Practice location:
  • Phone: 714-842-0444
  • Fax:
Mailing address:
  • Phone: 714-842-0444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License NumberA031721
License Number StateCA

VIII. Authorized Official

Name: DR. HSIN CHANG
Title or Position: OWNER
Credential:
Phone: 714-842-0444