Individual
KENNETH J CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 SUPERIOR AVE STE 240, NEWPORT BEACH, CA 92663-3660
(949) 764-8959
Mailing address
500 SUPERIOR AVE STE 240, NEWPORT BEACH, CA 92663-3660
(949) 764-8959
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
000000G61843
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100014901
RR MEDICARE
CA
Enumeration date
10/16/2006
Last updated
05/07/2026
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