ERIC T CHANG MD, INC (NPI# 1932402674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932402674 |
| Entity Type | Organization |
| Organization Name | ERIC T CHANG MD, INC |
| Practice Address |
4856 Bellflower Blvd Lakewood CA 90713-2306 |
| Practice Telephone | 5624251205 |
| Practice Fax Number | 5624961727 |
| Mailing Telephone | 5624251205 |
| Mailing Fax Number | 5624961727 |
| Enumeration Date | 2010-12-20 |
| Last Update Date | 2010-12-20 |
| Authorized Official Name | ERIC T CHANG (OWNER) |
| Authorized Official Telephone | 5624251727 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G34577 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
4856 BELLFLOWER BLVD |
| City | LAKEWOOD |
| State | CA |
| Zip Code | 90713-2306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164597258 | Eric T Chang | Family Medicine | 4856 Bellflower Blvd, Lakewood, CA 90740 | 2006-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215470026 | Blue Horizon Homes, LLC | Residential Treatment Facility, Physical Disabilities | 4340 Conquista Ave., Lakewood, CA 90713 | 2016-11-28 |
| 1083033104 | Support for Mothers | Lactation Consultant, Non-RN | 5313 Briercrest Ave, Lakewood, CA 90713 | 2014-04-16 |
| 1477972990 | Denise Marie Estrada | Acupuncturist | 4136 Woodruff Avenue, Lakewood, CA 90713 | 2014-04-11 |
| 1013176130 | Larry J Gottlieb Inc A Professional Corporation | Optometrist | 6418 E Del Amo Blvd, Lakewood, CA 90713 | 2008-06-04 |
| 1750405718 | Dean Luong & Donald Luong Dds, Inc | Dentist | 4180 Woodruff Ave, Lakewood, CA 90713 | 2007-03-16 |
| 1477629939 | Molthen Chiropractic | Chiropractor | 5834 Adenmoor Ave, Lakewood, CA 90713 | 2006-11-28 |
| 1093809709 | Kelli Lynn Molthen | Chiropractor | 5834 Adenmoor Ave., Lakewood, CA 90713 | 2006-10-03 |
| 1255979803 | Kimie Anne Acacio | Behavior Technician | 5834 Adenmoor Ave, Lakewood, CA 90713 | 2019-12-13 |
| 1164060711 | Stephanie Lee | Behavior Technician | 5834 Adenmoor Ave, Lakewood, CA 90713 | 2019-12-13 |
| 1144866161 | Anna Gevorgyan | Behavior Technician | 5834 Adenmoor Ave, Lakewood, CA 90713 | 2019-11-25 |
| Find all providers in zip 90713 | ||||
| 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. |
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| 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.