Individual
RICHARD S. CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
344 18TH ST, SANTA MONICA, CA 90402-2406
(310) 260-8581
(888) 960-2154
Mailing address
13236 N 7TH ST STE 4, #504, PHOENIX, AZ 85022-5343
(623) 296-2149
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A73466
CA
2085R0202X
Diagnostic Radiology Physician
Primary
A73466
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A734660
MEDI-CAL
CA
05
—
00L075240
—
CA
01
—
P00784478
RAILROAD MEDICARE
CA
Enumeration date
04/10/2006
Last updated
03/14/2025
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