Chang, Richard S.
Chang, Richard S. is an individual health care provider with primary practice located at 100 Wilshire Blvd Ste 700 , Santa Monica CA 90401-3602. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Chang, Richard S. can be contacted via phone (615) 468-4012.Contact Information
Primary practice address
100 Wilshire Blvd Ste 700
Santa Monica CA 90401-3602
Phone: (615) 468-4012
Fax: (888) 960-2154
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A73466 | California |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | A73466 | California |
Profile Details
| NPI number | 1154384311 |
|---|---|
| LBN Legal business name | Chang, Richard S. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2006 |
| Last updated | Oct 4th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154384311 | NPPES |
| California | Other | P00784478 | RAILROAD MEDICARE |
| California | MEDICAID | 00L075240 | RAILROAD MEDICARE |
| California | Other | 00A734660 | RAILROAD MEDICARE |
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