MEDICARE: DR. JOSEPH C CHANG PHARM.D.

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	183500000X	Pharmacist	48915	CA

General Provider Information

NPI Number	:	1669557211
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH C CHANG PHARM.D.

Provider Business Mailing Address
First Line	:	KAISER PERMANANTE PHARMACY
Second Line	:	1505 N. EDGEMONT ST. 1ST FLOOR
City	:	LOS ANGELES
State	:	CA
Zip	:	90027
Country	:	US
Telephone Number	:	323-783-4148
Fax Number	:	323-783-5694

Provider Business Practice Location Address
First Line	:	KAISER PERMANANTE PHARMACY
Second Line	:	1505 N. EDGEMONT ST. 1ST FLOOR
City	:	LOS ANGELES
State	:	CA
Zip	:	90027
Country	:	US
Telephone Number	:	323-783-4148
Fax Number	:	323-783-5694

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

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	07/21/2022

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