Individual
DR. MICHAEL YUECHIA CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
4760 W SUNSET BLVD FL 3, KAISER PERMANENTE LOS ANGELES MEDICAL CENTER, LOS ANGELES, CA 90027-6063
(323) 783-7510
Mailing address
4760 W SUNSET BLVD FL 3, KAISER PERMANENTE LOS ANGELES MEDICAL CENTER, LOS ANGELES, CA 90027-6063
(323) 783-7510
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
205340
MA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
G87840
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0177300
—
MA
Enumeration date
10/04/2005
Last updated
12/02/2021
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