Healthcare Provider Details

I. General information

NPI: 1093695280
Provider Name (Legal Business Name): DR. YUNG-HSIANG CHANG
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2025
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

757 WESTWOOD PLAZA BOX 951752, 3108 RRUMC
LOS ANGELES CA
90095
US

IV. Provider business mailing address

757 WESTWOOD PLAZA BOX 951752, 3108 RRUMC
LOS ANGELES CA
90095-1752
US

V. Phone/Fax

Practice location:
  • Phone: 310-267-9132
  • Fax:
Mailing address:
  • Phone: 210-267-9132
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: