MEDICARE: KUO HSIEN CHANG MD

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	207R00000X	Internal Medicine Physician	A63473	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851392922
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KUO HSIEN CHANG MD

Provider Business Mailing Address
First Line	:	18391 COLIMA RD
Second Line	:	SUITE 202
City	:	ROWLAND HEIGHTS
State	:	CA
Zip	:	91748-2730
Country	:	US
Telephone Number	:	626-965-0696
Fax Number	:	626-965-0265

Provider Business Practice Location Address
First Line	:	18391 COLIMA RD
Second Line	:	SUITE 202
City	:	ROWLAND HEIGHTS
State	:	CA
Zip	:	91748-2730
Country	:	US
Telephone Number	:	626-965-0696
Fax Number	:	626-965-0265

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

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	11/23/2009

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