Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SOUTH COUNTY KIDNEY AND ENDOCRINE CENTER
Active
Organization
SOUTH COUNTY KIDNEY AND ENDOCRINE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND KU JAY CHANG (MEDICAL DIRECTOR)
(949) 916-9100
Entity
Organization
Contact information
Practice address
23141 MOULTON PKWY STE 102, LAGUNA HILLS, CA 92653-1241
(949) 916-9100
(949) 916-0091
Mailing address
23141 MOULTON PKWY #102, LAGUNA HILLS, CA 92653
(949) 916-9100
(949) 916-0091
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
202278889
CA
251K00000X
Public Health or Welfare Agency
Primary
—
NULL
Other
Enumeration date
03/01/2017
Last updated
03/01/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers