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NPI Code Detail

MEDICARE: TRACY CHANG MD INC

MEDICARE: TRACY CHANG MD 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
12084N0400XNeurology Physician

General Provider Information

NPI Number : 1538014808
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRACY CHANG MD INC
Provider Business Mailing Address
First Line : 6260 SIMPSON AVE
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91606-3416
Country : US
Telephone Number : 818-821-4996
Fax Number : 970-528-8219
Provider Business Practice Location Address
First Line : 2070 CENTURY PARK E
Second Line :
City : LOS ANGELES
State : CA
Zip : 90067-1907
Country : US
Telephone Number : 818-821-4996
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : TRACY CHANG
Credential : MD
Telephone Number : 818-821-4996
Provider Enumeration Date : 03/03/2026
Last Update Date : 03/03/2026

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Directions to “TRACY CHANG MD INC ” Practice Location

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