MEDICARE: ELEMENT OF BLANK, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician

General Provider Information

NPI Number	:	1013505452
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELEMENT OF BLANK, INC.

Provider Business Mailing Address
First Line	:	23901 CALABASAS RD STE 2080
Second Line	:
City	:	CALABASAS
State	:	CA
Zip	:	91302-4104
Country	:	US
Telephone Number	:	310-954-6454
Fax Number	:

Provider Business Practice Location Address
First Line	:	23901 CALABASAS RD STE 2080
Second Line	:
City	:	CALABASAS
State	:	CA
Zip	:	91302-4104
Country	:	US
Telephone Number	:	310-954-6454
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. LYNN E CHANG
Credential	:	DO
Telephone Number	:	310-954-6454

Provider Enumeration Date	:	12/31/2020
Last Update Date	:	01/22/2026

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Directions to “ELEMENT OF BLANK, INC. ” Practice Location

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