KELLY CHANG


Address: 2716 Ocean Park Blvd Ste 3020, Santa Monica, CA 90405-5225
Phone: 3108299161

KELLY CHANG (NPI# 1790335396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790335396
Entity Type Individual
Full Name KELLY CHANG
Credential RD
Practice Address 2716 Ocean Park Blvd Ste 3020
Santa Monica
CA 90405-5225
Mailing Address 1829 Westholme Ave
Los Angeles
CA 90025-4946
Practice Telephone 3108299161
Enumeration Date 2019-09-16
Last Update Date 2019-09-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 86114201 CA Dietary & Nutritional Service Providers

Other Providers KELLY CHANG

NPI Name Taxonomy Address Enumeration
1255647103 Kelly Chang Pharmacist 5551 Seaside Heights Dr, Rancho Palos Verdes, CA 90275-4932 2010-08-28
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

Office Location

Street Address 2716 OCEAN PARK BLVD STE 3020
City SANTA MONICA
State CA
Zip Code 90405-5225

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033262811 Ede Ca At Santa Monica, Lp Clinic/Center 2716 Ocean Park Blvd Ste 3020, Santa Monica, CA 90405-5225 2007-01-18
1225689276 Josephine Lee Marriage & Family Therapist 2716 Ocean Park Blvd Ste 3020, Santa Monica, CA 90405-5225 2019-09-20
1376060293 Adi Diamant Counselor 2716 Ocean Park Blvd Ste 3020, Santa Monica, CA 90405-5225 2017-08-23
1811413420 Laura Gajda Dietitian, Registered 2716 Ocean Park Blvd Ste 3020, Santa Monica, CA 90405-5225 2017-08-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699328476 Nicole Ryan Harbeck Marriage & Family Therapist 2716 Ocean Park Blvd Ste 2007, Santa Monica, CA 90405 2019-07-19
1922664440 Betty Ann Wise Counselor 1865 W. 9th Street, Santa Monica, CA 90405 2019-05-10
1790203776 Ernest Jones Jr. Counselor 909 Pico Blvd., Santa Monica, CA 90405 2017-08-30
1285171371 Jori Adler Marriage & Family Therapy Prof. Corp. Marriage & Family Therapist 3400 Airport Ave Ste 30, Santa Monica, CA 90405 2017-01-26
1376993147 Damoan Corp. Speech-Language Pathologist 2801 Ocean Park Blvd Ste 393, Santa Monica, CA 90405 2016-06-13
1427410034 Adam Rubio Clinical Neuropsychologist 1916 4th Street, Santa Monica, CA 90405 2016-03-23
1760852842 Yramnna Smith Behavioral Analyst 2716 Ocean Park Blvd Ste 1025, Santa Monica, CA 90405 2015-10-01
1689086076 Cheryl K. Baker Community Health Worker 1750 Ocean Park Blvd., Suite 206, Santa Monica, CA 90405 2014-05-20
1629409891 Dominique M. Delvecchio Nurse Practitioner 2716 Ocean Park Blvd. Suite 3082, Institute for Nerve Medicine, Santa Monica, CA 90405 2013-12-12
1639512692 Nancy Elizabeth Hyland Marriage & Family Therapist 1720 Ocean Park Blvd, Suite 200a, Santa Monica, CA 90405 2013-04-09
Find all providers in zip 90405

Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669089397 Karim Damji Dietitian, Registered 616 Marine St, Santa Monica, CA 90405-5631 2020-09-27
1770101537 Rebecca Goodrich Dietitian, Registered 1639 11th St # B-230, Santa Monica, CA 90404-3727 2020-07-08
1336777465 Melanie Murphy Dietitian, Registered 914 California Ave Apt E, Santa Monica, CA 90403-4153 2020-04-01
1588205389 Dianna Marino Dietitian, Registered 2628 6th St Apt 10, Santa Monica, CA 90405-4426 2019-10-02
1558838946 Makenna Barris Dietitian, Registered 1507 20th St, Santa Monica, CA 90404-3472 2018-10-24
1811484348 Kristen Renee Bell Dietitian, Registered 1740 Stewart St, Santa Monica, CA 90404-4022 2018-04-19
1154822997 Leora Aframian Dietitian, Registered 805 Woodacres Rd, Santa Monica, CA 90402 2018-02-27
1962900928 Jessica Pui Yan Quan Dietitian, Registered 941 10th St Apt 7, Santa Monica, CA 90403-2925 2018-01-24
1497266142 Luba Spichkin Rosenblum Dietitian, Registered 235 24th St, Santa Monica, CA 90402-2515 2017-10-21
1952840811 Kristina Halverson Dietitian, Registered 1930 Ocean Ave Apt 116, Santa Monica, CA 90405-1040 2017-02-13
Find all providers in SANTA MONICA

Competitor

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City SANTA MONICA
Zip Code 90405

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Dataset Information

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.

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