MEDICARE: ANDY YU-HOW CHANG

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	2088P0231X	Pediatric Urology Physician	A69853	CA

General Provider Information

NPI Number	:	1255522538
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDY YU-HOW CHANG

Provider Business Mailing Address
First Line	:	4650 W SUNSET BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90027-6062
Country	:	US
Telephone Number	:	323-669-2247
Fax Number	:	323-913-2972

Provider Business Practice Location Address
First Line	:	6430 W SUNSET BLVD STE 600
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90028-7909
Country	:	US
Telephone Number	:	323-669-2337
Fax Number	:	323-644-8491

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2007
Last Update Date	:	08/05/2007

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Directions to “ ANDY YU-HOW CHANG ” Practice Location

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