IRENE CHANG
NPI 1174150197
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since March 27, 2020PECOS EnrolledAccepts Medicare Assignment
1200 N STATE STREET CLINIC TOWER, SUITE A7D, LOS ANGELES, CA 90033(323) 409-7556 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 31, 2023, Mar 27, 2020 (2 updates tracked since 2020).

About Irene Chang NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IRENE CHANG (NPI 1174150197) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Un Of California, Irvine, College Of Medicine (2020).

NPPES Registry Identity

NPI1174150197
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameIRENE CHANG
Location Address1200 N STATE STREET CLINIC TOWER, SUITE A7DLos Angeles, CA 90033-1029
Mailing Address1200 N State Street Clinic Tower, Suite A7dLos Angeles, CA 90033-1029
Sole ProprietorNo
Medical School CMSUn Of California, Irvine, College Of MedicineGraduated 2020
Enumeration DateMarch 27, 2020
Last NPPES UpdateOctober 31, 20232 updates tracked since enumeration
NPPES CertifiedMarch 27, 2020
NPI 1174150197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1200 N STATE STREET CLINIC TOWER, Los Angeles, CA 90033

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Irene Chang is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052730496
PECOS Enrollment IDI20231122003228
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1200 N STATE STREET CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Student in an Organized Health Care Education/Training Program
1200 N STATE STREET CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Student in an Organized Health Care Education/Training Program
1200 N STATE STREET CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Student in an Organized Health Care Education/Training Program
1200 N STATE STREET CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Internal Medicine (Infectious Disease)
1200 N STATE STREET CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Student in an Organized Health Care Education/Training Program
1200 N STATE STREET CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Student in an Organized Health Care Education/Training Program
1200 N STATE STREET CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Student in an Organized Health Care Education/Training Program
1200 N STATE STREET CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Irene Chang's NPI number?

The NPI number for Irene Chang is 1174150197. It was assigned to this individual provider in the NPPES registry on March 27, 2020.

Where is Irene Chang located?

Irene Chang practices at 1200 N State Street Clinic Tower Suite A7d, Los Angeles, CA 90033. The listed phone number is (323) 409-7556.

What is Irene Chang's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Irene Chang enrolled in Medicare?

Yes. Irene Chang is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Irene Chang was last updated on October 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.