Physician Compare National (NPI:1659448694)

HEALTHCARE PROVIDER: ANDY CHANG MPT

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

Individual Professional Information
NPI	1659448694
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2466521109
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080520000905
	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	ANDY
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2004
	Individual professional's medical school graduation year
Primary Specialty	PHYSICAL THERAPY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	8950 VILLA LA JOLLA DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE A125
	Group Practice or individual's line 2 address
City	LA JOLLA
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	920371706
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y