Organization
SHERMAN OAKS CARDIOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER CHANG ON M.D. (CHAIRMAN)
(818) 783-0800
Entity
Organization
Contact information
Practice address
4929 VAN NUYS BLVD, SHERMAN OAKS, CA 91403-1702
(818) 907-4530
(818) 907-4530
Mailing address
4835 VAN NUYS BLVD, SUITE 114, SHERMAN OAKS, CA 91403-2109
(818) 783-0800
(818) 783-0802
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0050340
—
CA
01
—
ZZZ36337A
BLUE SHIELD PROVIDER NUMB
CA
Enumeration date
01/11/2006
Last updated
03/24/2008
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