Healthcare Provider Details

I. General information

NPI: 1801108568
Provider Name (Legal Business Name): SEAN CHANG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2010
Last Update Date: 01/27/2026
Certification Date: 01/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 OUTLET CENTER DR SUITE 120
OXNARD CA
93036-0663
US

IV. Provider business mailing address

609 HAMPSHIRE RD APT 375
WESTLAKE VILLAGE CA
91361-2318
US

V. Phone/Fax

Practice location:
  • Phone: 805-604-9500
  • Fax:
Mailing address:
  • Phone: 310-920-1344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085N0700X
TaxonomyNeuroradiology Physician
License NumberMD-54108
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberPT21830
License Number StateND
# 3
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number2024034448
License Number StateMO
# 4
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMD-54108
License Number StateIA
# 5
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberM-2501
License Number StateGU
# 6
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number18726A
License Number StateWY
# 7
Primary TaxonomyY
Taxonomy Code2085N0700X
TaxonomyNeuroradiology Physician
License Number112950
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: