Healthcare Provider Details

I. General information

NPI: 1750606703
Provider Name (Legal Business Name): KEC CHANG MEDICAL ASSOCIATES, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2010
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7720 W SAHARA AVE SUITE 103
LAS VEGAS NV
89117-2799
US

IV. Provider business mailing address

7720 W SAHARA AVE STE 103
LAS VEGAS NV
89117-2754
US

V. Phone/Fax

Practice location:
  • Phone: 702-228-9888
  • Fax:
Mailing address:
  • Phone: 702-228-9888
  • Fax: 866-920-0799

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number12643
License Number StateNV

VIII. Authorized Official

Name: JOYCE P CHANG
Title or Position: PRESIDENT
Credential: M.D.
Phone: 702-228-9888