MEDICARE: BESS LEE CHANG D.O.

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	2084N0400X	Neurology Physician	1056	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DN1018	OTHER	NV	RAIL ROAD PIN NUMBER

General Provider Information

NPI Number	:	1942228515
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BESS LEE CHANG D.O.

Provider Business Mailing Address
First Line	:	PO BOX 777910
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89077-7910
Country	:	US
Telephone Number	:	702-921-6829
Fax Number	:	702-921-6828

Provider Business Practice Location Address
First Line	:	8530 W SUNSET RD
Second Line	:	SUITE 350
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-2215
Country	:	US
Telephone Number	:	702-851-1065
Fax Number	:	702-851-1066

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

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	10/17/2013

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Directions to “ BESS LEE CHANG D.O.” Practice Location

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