MEDICARE: DR. MICHAEL YUECHIA CHANG MD, MPH

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	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	G87840	CA
2	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	205340	MA

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	:	1881681914
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL YUECHIA CHANG MD, MPH

Provider Business Mailing Address
First Line	:	4760 W SUNSET BLVD FL 3
Second Line	:	KAISER PERMANENTE LOS ANGELES MEDICAL CENTER
City	:	LOS ANGELES
State	:	CA
Zip	:	90027-6063
Country	:	US
Telephone Number	:	323-783-7510
Fax Number	:

Provider Business Practice Location Address
First Line	:	4760 W SUNSET BLVD FL 3
Second Line	:	KAISER PERMANENTE LOS ANGELES MEDICAL CENTER
City	:	LOS ANGELES
State	:	CA
Zip	:	90027-6063
Country	:	US
Telephone Number	:	323-783-7510
Fax Number	:

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

Provider Enumeration Date	:	10/04/2005
Last Update Date	:	12/02/2021

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