# RYAN CHANG, DPM, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ryan Chang, DPM, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215776232
- **Authorized official:** DR. WON HO RYAN HO CHANG DPM (PEWSIDENT)
- **Authorized official phone:** (949) 484-4405

## Contact information

- **Practice address:** 62 CORPORATE PARK STE 235, IRVINE, CA 92606-3123
- **Practice address phone:** (949) 484-4405
- **Mailing address:** 62 CORPORATE PARK STE 235, IRVINE, CA 92606-3123
- **Mailing address phone:** (949) 484-4405

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NS0005X | Sports Physician Chiropractor | — | NULL | — |
| 111NS0005X | Sports Physician Chiropractor | — | — | — |
| 207RS0010X | Sports Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RS0010X | Sports Medicine (Internal Medicine) Physician | — | — | — |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | — | NULL | — |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | — | — | — |
| 2080S0010X | Pediatric Sports Medicine Physician | — | NULL | — |
| 2080S0010X | Pediatric Sports Medicine Physician | — | — | — |
| 213EP1101X | Primary Podiatric Medicine Podiatrist | — | NULL | — |
| 213EP1101X | Primary Podiatric Medicine Podiatrist | — | — | — |
| 213ES0000X | Sports Medicine Podiatrist | — | NULL | Yes |
| 213ES0000X | Sports Medicine Podiatrist | — | — | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | — |
| 213ES0131X | Foot Surgery Podiatrist | — | NULL | — |
| 213ES0131X | Foot Surgery Podiatrist | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 2251S0007X | Sports Physical Therapist | — | NULL | — |
| 2251S0007X | Sports Physical Therapist | — | — | — |
| 225700000X | Massage Therapist | — | NULL | — |
| 225700000X | Massage Therapist | — | — | — |
| 225XP0019X | Physical Rehabilitation Occupational Therapist | — | NULL | — |
| 225XP0019X | Physical Rehabilitation Occupational Therapist | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/20/2024
- **Last updated:** 05/20/2024