Provider Demographics
NPI:1861427643
Name:CHANG, DONALD STEVEN (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:STEVEN
Last Name:CHANG
Suffix:
Gender:M
Credentials:MD, MPH
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Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:11301 WILSHIRE BLVD # 111E
Mailing Address - Street 2:ROOM 4425
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90073-1003
Mailing Address - Country:US
Mailing Address - Phone:310-268-3643
Mailing Address - Fax:310-268-4288
Practice Address - Street 1:UCLA 200 MEDICAL PLAZA
Practice Address - Street 2:SUITE #365
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095
Practice Address - Country:US
Practice Address - Phone:310-825-0631
Practice Address - Fax:310-206-3607
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2014-02-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG77688207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG89654Medicare UPIN
CAWG77688CMedicare PIN