DR. KELLY CHANG (NPI# 1255647103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255647103 |
| Entity Type | Individual |
| Full Name | DR. KELLY CHANG |
| Credential | PHARMD |
| Practice Address |
5551 Seaside Heights Dr Rancho Palos Verdes CA 90275-4932 |
| Practice Telephone | 3105410694 |
| Enumeration Date | 2010-08-28 |
| Last Update Date | 2010-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 64155 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790335396 | Kelly Chang | Dietitian, Registered | 2716 Ocean Park Blvd Ste 3020, Santa Monica, CA 90405-5225 | 2019-09-16 |
| 1427525658 | Kelly Chang | Physical Therapist | 105 Convention Dr, Cary, NC 27511-4595 | 2018-10-25 |
| 1134602162 | Kelly H Chang | Behavioral Analyst | 8135 Painter Ave Ste 200, Whittier, CA 90602-3168 | 2018-09-14 |
| 1336519545 | Kelly Chang | Speech-Language Pathologist | 7002 Lebanon Rd, Frisco, TX 75034-7461 | 2015-09-30 |
| 1083923296 | Kelly Chang | Counselor | 9901 Artesia Blvd, Bellflower, CA 90706-6713 | 2010-10-05 |
| 1467765131 | Kelly Moran Chang | Physical Therapist | 989 Route 146, Clifton Park, NY 12065-3646 | 2010-07-22 |
| Street Address |
5551 SEASIDE HEIGHTS DR |
| City | RANCHO PALOS VERDES |
| State | CA |
| Zip Code | 90275-4932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952927378 | Anaheim Urgent Care, Inc. | Clinic/Center | 28900 S. Western Ave, Ranchos Palos Verdes, CA 90275 | 2020-06-22 |
| 1164903340 | Brad Thomas | Physical Therapist | 28924 S Western Ave Ste 101, Rancho Palos Verdes, CA 90275 | 2018-08-24 |
| 1023503679 | Nature Health Chiro Inc | Acupuncturist | 29050 S Western Ave Ste 152, Rancho Palos Verdes, CA 90275 | 2018-06-26 |
| 1649726605 | Katelyn Rose Tomasello | Counselor | 1317 Bloomwood Rd., Rancho Palos Verdes, CA 90275 | 2016-08-30 |
| 1952752644 | Alvin M Gottlieb | Family Medicine | 30738 Via La Cresta, Rancho Palos Verdes, CA 90275 | 2016-06-24 |
| 1518314038 | Donna Marie Sardisco | Marriage & Family Therapist | 28850 So. Western, Christ Lutheran Church School, Rancho Palos Verdes, CA 90275 | 2016-05-16 |
| 1629440482 | Bahareh Andi | Pharmacist | 32679 Seagate Dr. #203, Rancho Palos Verdes, CA 90275 | 2015-10-20 |
| 1205102829 | Rosemond Seligson | Occupational Therapist | 5051 Golden Arrow Drive, Rancho Palos Verdes, CA 90275 | 2012-03-28 |
| 1790054666 | James Yan Lee | Internal Medicine | 28630 Meadowmist Drive, Rancho Palos Verdes, CA 90275 | 2011-12-22 |
| 1194028233 | Pavillion Asc Inc. | Dermatology | 28901 S. Western Avenue #127, Rancho Palos Veredes, CA 90275 | 2010-12-13 |
| Find all providers in zip 90275 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801396957 | Cindy Chunchung Wong | Pharmacist | 27303 Warrior Dr, Rancho Palos Verdes, CA 90275-3743 | 2018-02-15 |
| 1891245841 | Danny Pham | Pharmacist | 30040 Avenida Classica, Rancho Palos Verdes, CA 90275-5415 | 2016-10-13 |
| 1629440482 | Bahareh Andi | Pharmacist | 32679 Seagate Dr. #203, Rancho Palos Verdes, CA 90275 | 2015-10-20 |
| 1518374628 | Glenda S Owens | Pharmacist | 28904 Scotsview Dr, Rancho Palos Verdes, CA 90275-4744 | 2014-07-21 |
| 1033542154 | Pamela Liao | Pharmacist | 27929 Ridgebrook Ct, Rancho Palos Verdes, CA 90275-3302 | 2013-08-12 |
| 1487900320 | Ana Maria Manrique | Pharmacist | 32443 Sea Raven Dr, Rancho Palos Verdes, CA 90275-6120 | 2012-07-30 |
| 1285919423 | Babak Maheronnaghsh | Pharmacist | 26410 Grayslake Rd, Rancho Palos Verdes, CA 90275-1738 | 2011-10-19 |
| 1578894119 | George Wissa | Pharmacist | 31238 Palos Verdes Dr W, Rancho Palos Verdes, CA 90275-5361 | 2010-01-21 |
| 1851544043 | Vivian E Limb | Pharmacist | 6823 Faircove Dr, Rancho Palos Verdes, CA 90275-4668 | 2008-10-31 |
| 1508258708 | Kendall Awshee | Pharmacist | 30019 Hawthorne Blvd, Rancho Palos Verdes, CA 90275-5434 | 2015-02-24 |
| Find all providers in RANCHO PALOS VERDES | ||||
| City | RANCHO PALOS VERDES |
| Zip Code | 90275 |
Please comment or provide details below to improve the information on DR. KELLY CHANG.
| 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.