# JOHN CHANG MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649752932
- **Authorized official:** DR. JOHN CHANG MD (PRESIDENT)
- **Authorized official phone:** (310) 766-5947

## Contact information

- **Practice address:** 1625 W OLYMPIC BLVD STE M100, LOS ANGELES, CA 90015-3824
- **Practice address phone:** (310) 766-5947
- **Practice address fax:** (855) 292-8588
- **Mailing address:** PO BOX 251615, LOS ANGELES, CA 90025-9243
- **Mailing address phone:** (310) 766-5947
- **Mailing address fax:** (855) 292-8588

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 77448 | CA | Yes |

## Other

- **Enumeration date:** 09/03/2018
- **Last updated:** 09/03/2018