Healthcare Provider Details
I. General information
NPI: 1801239975
Provider Name (Legal Business Name): ALLEN K CHANG D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/09/2013
Last Update Date: 12/07/2025
Certification Date: 12/07/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3330 LOMITA BLVD HEALTHCARE PARTNERS
TORRANCE CA
90505-5002
US
IV. Provider business mailing address
PO BOX 35380
LAS VEGAS NV
89133-5380
US
V. Phone/Fax
- Phone: 310-325-9110
- Fax:
- Phone: 702-579-3203
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | 20A13757 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: