Provider Demographics
NPI:1952357600
Name:CHANG, JOYCE CHAIN-LING (MD)
Entity Type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:CHAIN-LING
Last Name:CHANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:812 MOUNT WASHINGTON DR
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90065-3229
Mailing Address - Country:US
Mailing Address - Phone:323-387-0392
Mailing Address - Fax:
Practice Address - Street 1:21501 AVALON BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:CARSON
Practice Address - State:CA
Practice Address - Zip Code:90745-2222
Practice Address - Country:US
Practice Address - Phone:310-835-6627
Practice Address - Fax:310-835-6517
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA71054207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH48658Medicare UPIN