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Organization
CALIFORNIA PPO LLC
Active
Organization
CALIFORNIA PPO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN CHANG DO (CHIEF MEDICAL OFFICER)
(877) 772-7081
Entity
Organization
Contact information
Practice address
23901 CALABASAS RD STE 2080, CALABASAS, CA 91302-4104
(310) 954-6454
Mailing address
22287 MULHOLLAND HWY # 526, CALABASAS, CA 91302-5157
(877) 772-8071
(877) 261-7383
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
—
NULL
202C00000X
Independent Medical Examiner Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
08/16/2023
Last updated
01/22/2026
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