DR. ERIC T CHANG (NPI# 1164597258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164597258 |
| Entity Type | Individual |
| Full Name | DR. ERIC T CHANG |
| Credential | MD |
| Practice Address |
4856 Bellflower Blvd Lakewood CA 90740 |
| Practice Telephone | 5624251205 |
| Practice Fax Number | 5624961727 |
| Mailing Telephone | 5624251205 |
| Mailing Fax Number | 5624961727 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G34577 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | G3457700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013546928 | Eric Chang | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Orthopaedic Surgery, Los Angeles, CA 90095-7419 | 2020-04-02 |
| 1487160347 | Eric Chang | Counselor | 230 William Howard Taft Rd, Cincinnati, OH 45219-2611 | 2017-12-14 |
| 1912226671 | Eric Taehyun Chang | Surgery | 550 S Beretania St Ste 509, Honolulu, HI 96813-2496 | 2010-05-20 |
| 1427207216 | Eric Chang | Optometrist | 15230 Ne 24th St, Ste Q, Redmond, WA 98052-5540 | 2008-09-16 |
| 1427123488 | Eric Cheng Kun Chang | Internal Medicine | 600 N Garfield Ave Ste 200, Monterey Park, CA 91754-1169 | 2006-11-22 |
| 1760484398 | Eric Chang | Specialist | 8860 Columbia 100 Pkwy, Suite 206, Columbia, MD 21045-2195 | 2005-08-12 |
| 1649807868 | Eric Chang | Student in an Organized Health Care Education/Training Program | 3100 N Tenaya Way, Las Vegas, NV 89128-0436 | 2020-03-26 |
| 1831657022 | Eric Chang | Physician Assistant | 3400 W Ball Rd Ste 203, Anaheim, CA 92804-3735 | 2019-03-06 |
| 1326541830 | Eric Michael Chang | Student in an Organized Health Care Education/Training Program | 1102 Barclay St, San Antonio, TX 78207-7161 | 2018-03-10 |
| 1346777315 | Eric Yanbo Chang | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynhh Dept of Internal Medicine, New Haven, CT 06510-3220 | 2017-05-22 |
| Street Address |
4856 BELLFLOWER BLVD |
| City | LAKEWOOD |
| State | CA |
| Zip Code | 90740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932402674 | Eric T Chang Md, Inc | Family Medicine | 4856 Bellflower Blvd, Lakewood, CA 90713-2306 | 2010-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013564608 | Betty Lou Halloran | Technician | 1320 Kenwood Rd 158g, Seal Beach, CA 90740 | 2019-08-20 |
| 1235794975 | Elizabeth Irene Williams | Behavior Technician | 30002 Dow Ave #122, Tustin, CA 90740 | 2019-05-08 |
| 1679994834 | Alexis Worth | Nurse Practitioner | 1305 Catalina Ave., Seal Beach, CA 90740 | 2013-12-13 |
| 1386074128 | Santa Ana Hospice Inc | Hospice Care, Community Based | 610 Pacific Coast Hwy Ste 211, Seal Beach, CA 90740 | 2013-11-14 |
| 1902242019 | Bernard Georges Gantes | Dentist | 2999 Westminster, Suite 108, Seal Beach, CA 90740 | 2013-05-15 |
| 1144592064 | Brooke Ashley Pancer | Dentist | 2999 Westminster Blvd Seal Beach Dental Implants, Seal Beach, CA 90740 | 2012-02-08 |
| 1003187808 | Justin Cheongsiatmoy | Psychiatry & Neurology | 1301 Kenwood Road, Suite 159b, Seal Beach, CA 90740 | 2012-01-25 |
| 1386912830 | A Peace of Mind Home Care LLC | In Home Supportive Care | 1050 Electric Ave, Suite 308-1, Seal Beach, CA 90740 | 2011-12-12 |
| 1770888430 | Kathleen Cleary Adamovic | Marriage & Family Therapist | 500 Pacific Coast Highway, Suite 214, Seal Beach, CA 90740 | 2011-01-11 |
| 1710218177 | Misty Oppenheim-leaf | Behavioral Analyst | 200 Marina Drive, Suite C, Seal Beach, CA 90740 | 2010-01-26 |
| Find all providers in zip 90740 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114531522 | Scl Health Medical Group - Denver, LLC | Family Medicine | 1726 Cole Blvd Ste 350, Lakewood, CO 80401-3213 | 2020-09-02 |
| 1952913774 | Scl Health Medical Group - Denver, LLC | Family Medicine | 325 S Teller St Ste 250, Lakewood, CO 80226-7429 | 2020-08-21 |
| 1356860803 | Front Range Clinic Inc. | Family Medicine | 1410 Vance St Ste 201, Lakewood, CO 80214-5435 | 2017-09-15 |
| 1912433756 | Julie Ann Foucher-urcuyo | Family Medicine | 14601 Detroit Ave, Fl 2, Lakewood, OH 44107 | 2017-05-11 |
| 1225563661 | Elizabeth Ann Rainbolt | Family Medicine | 14601 Detroit Ave Fl 2, Lakewood, OH 44107 | 2017-04-24 |
| 1083148324 | Stephanie Baker | Family Medicine | 255 S Routt St, Lakewood, CO 80228-2271 | 2017-04-13 |
| 1043766413 | Paladina Health, LLC | Family Medicine | 3701 Michelson St, Lakewood, CA 90712-1402 | 2016-08-26 |
| 1245686674 | Gary James Cantrell Jr. | Family Medicine | 12105 W Alameda Pkwy Ste 100, Lakewood, CO 80228-2832 | 2016-05-04 |
| 1073967394 | Mirna S Rizkalla | Family Medicine | 3650 South St Ste 404, Lakewood, CA 90712 | 2016-04-22 |
| 1194145656 | Mile High Wound and Hyperbaric Medicine Pllc | Family Medicine | 12065 W Auburn Dr, Lakewood, CO 80228-4765 | 2014-04-23 |
| Find all providers in LAKEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.