Physician Compare National (NPI:1073596342)

HEALTHCARE PROVIDER: DAVID M CHANG M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1073596342
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8527250067
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101004000055
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CHANG
	Individual professional last name
Provider First Name	DAVID
	Individual professional first name
Provider Middle Name	M
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	GEISEL SCHOOL OF MEDICINE AT DARTMOUTH
	Individual professional's medical school
Graduation Year	1984
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	6699 ALVARADO RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 2308
	Group Practice or individual's line 2 address
City	SAN DIEGO
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	921205241
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6194629010
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050026
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	GROSSMONT HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050757
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ALVARADO HOSPITAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	050100
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	SHARP MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	050234
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	SHARP CORONADO HOSPITAL AND HLTHCR CTR
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y