Physician Compare National (NPI:1689944407)

HEALTHCARE PROVIDER: ALFREDO LEE CHANG MD

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

Individual Professional Information
NPI	1689944407
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2567694409
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200429001108
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LEE CHANG
	Individual professional last name
Provider First Name	ALFREDO
	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	2008
	Individual professional's medical school graduation year
Primary Specialty	PULMONARY DISEASE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	500 N GARFIELD AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 204
	Group Practice or individual's line 2 address
City	MONTEREY PARK
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	917541242
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050350
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BEVERLY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050737
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	GARFIELD MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	050736
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MONTEREY PARK HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	050281
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	ALHAMBRA HOSPITAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	050132
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	SAN GABRIEL VALLEY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1689944407)

HEALTHCARE PROVIDER: ALFREDO LEE CHANG MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information