Provider Demographics
NPI:1275971947
Name:ROBERT CHANG DO INC.
Entity Type:Organization
Organization Name:ROBERT CHANG DO INC.
Other - Org Name:INSIGHT CHOICES MENTAL WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR, LEAD PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:P
Authorized Official - Last Name:CHANG
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:626-354-6789
Mailing Address - Street 1:8265 W SUNSET BLVD STE 207
Mailing Address - Street 2:
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90046-2470
Mailing Address - Country:US
Mailing Address - Phone:323-375-0950
Mailing Address - Fax:323-315-5240
Practice Address - Street 1:8265 W SUNSET BLVD STE 207
Practice Address - Street 2:
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90046-2470
Practice Address - Country:US
Practice Address - Phone:323-375-0950
Practice Address - Fax:323-315-5240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-04
Last Update Date:2020-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A68082084P0800X
CAPA19448363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty