Organization
MOON CHANG M.D. & BONG CHANG, M.D. APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONG CHANG (OWNER)
(213) 383-8496
Entity
Organization
Contact information
Practice address
3671 W 6TH ST, LOS ANGELES, CA 90020-3026
(213) 383-8496
(213) 365-9133
Mailing address
3671 W 6TH ST, LOS ANGELES, CA 90020-3026
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/01/2007
Last updated
10/10/2011
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