Michael Chang | Los Angeles, CA • PECOS Search

Michael Chang

Internal Medicine

Allopathic & Osteopathic Physicians

4867 W Sunset Blvd, Los Angeles, CA 90027-5969

PECOS Enrollment

Based on the most recent information from CMS, provider Michael Chang does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1639751381
Provider Type
Individual
Full Name
Chang, Michael
Credential
DO

Gender
Male
Sole Proprietor
No
Enumeration Date
4/22/2021
Last Updated
6/19/2024

Contact Information

Practice Location

4867 W Sunset Blvd, Los Angeles, CA 90027-5969

Unlisted Fax

Mailing Location

26520 Cactus Avenue, Cpc Suite 201, Moreno Valley, CA 92555

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 20A21346 California