Provider Demographics
NPI:1942228515
Name:CHANG, BESS LEE (DO)
Entity Type:Individual
Prefix:
First Name:BESS
Middle Name:LEE
Last Name:CHANG
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 777910
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89077-7910
Mailing Address - Country:US
Mailing Address - Phone:702-921-6829
Mailing Address - Fax:702-921-6828
Practice Address - Street 1:8530 W SUNSET RD
Practice Address - Street 2:SUITE 350
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-2215
Practice Address - Country:US
Practice Address - Phone:702-851-1065
Practice Address - Fax:702-851-1066
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2013-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV10562084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVDN1018OtherRAIL ROAD PIN NUMBER
NVDN1018OtherRAIL ROAD PIN NUMBER
NVH10213Medicare UPIN
NVAV126YMedicare PIN