# MOON CHANG M.D. & BONG CHANG, M.D. APC

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

## Provider details

- **NPI number:** 1790972016
- **Authorized official:** BONG CHANG (OWNER)
- **Authorized official phone:** (213) 383-8496

## Contact information

- **Practice address:** 3671 W 6TH ST, LOS ANGELES, CA 90020-3026
- **Practice address phone:** (213) 383-8496
- **Practice address fax:** (213) 365-9133
- **Mailing address:** 3671 W 6TH ST, LOS ANGELES, CA 90020-3026

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 10/01/2007
- **Last updated:** 10/10/2011